and from operative technics of other authors. All superfluous anatomic surroundings are eliminated and the operations and procedures are detailed step by step with a clearness and accuracy we have never before seen. Certainly, the success the work has won is well deserved and fully to have been expected.

THE OPERATING ROOM AND THE PATIENT.- By Russell S. Fowler, M. D., Surgeon to the German Hospital, Brooklyn, N. Y. Octavo of 172 pages, fully illustrated. Philadelphia and London: W. B. Saunders Company, 1906. Cloth, $2.00 net.

In Dr. Russell Fowler's admirable work we have a book that has long been needed, one that to our knowledge is unique in that it is the only work on the market devoted entirely to operative technic, with the pre-operative procedures of sterilization and preparation. Written by a surgeon of rich clinical experience for the use of surgeons, nurses assisting at an operation, and hospital internes, it clearly describes the preparation of material of all kinds, indicates the instruments required for the various operations, details the preparation and care of the patient before and after operation, and the methods of anesthetization, describes and illustrates the position of the patient for different operations, and contains all other information the knowledge of which is necessary to produce the highest efficiency. Indeed, it is a most excellent and most valuable work for practical use, and the operating surgeon will find it of additional value as it furnishes him a guide to which he may readily add his own vari ations of technic.

NURSING IN THE ACUTE INFECTIOUS FEVERS.-By George P. Paul, M. D., Assistant Visiting Physician and Adjunct Radiographer to the Samaritan Hospital, Troy, New York. 12m0 of 200 pages, illustrated. Philadelphia and London: W. B. Saunders Company, 1906. Cloth, $1.00 net. It is evident to us that Dr. Paul has written his book on Fever Nursing especially for the nurse and with a knowledge of the subject that can have been gained only by intimate association with routine hospital work. The care and management of each fever has been accorded special attention, as these subjects are of partic

ular interest to the nurse. The author has divided his work into three parts: The first treats of fevers in general; the second of each fever individually; the third deals with practical procedures and information necessary to the proper management of the var-ous diseases discussed, such as antitoxins, bacteria, urine examination, poisons and their antidotes, enemata, topical applications, antiseptics, weights and measures, etc. Altogether, it will be found that Dr. Paul has rendered a valuable service, not only to the nursing but also to the medical profession, as much of the information given is not without the frequent needs of the general practitioner.

A TREATISE ON SURGERY.- In two volumes. By George R. Fowler, M. D., Examiner in Surgery, Board of Medical Examiners of the Regents of the University of the State of New York; Emeritus Professor of Surgery in the New York Polyclinic, etc. Two imperial octavos of 725 pages each, with 888 text illustrations and 4 colored plates, all original. Philadelphia and London: W. B. Saunders Company, 1906. Per set: Cloth, $15.00 net; Half Morocco, $17.00 net. We have been looking forward to the appearance of this work with the greatest expectations, for Dr. Fowler's endeavors in the field of practical surgery have been such as to stamp his writings with unquestionable authority. It is not too much, indeed, we feel it is too little to say that our expectations have been fully realized. The work is a masterpiece. It is an accurate, up-to-date treatise on surgery, skilfully presented. This entirely new work presents the science and art of surgery as it is practised to-day. The first part of the work deals with general surgery, and embraces what is usually included under the head of principles of surgery. Special attention is given to the subject of inflammation from the surgeon's point of view, due consideration being accorded the influences of traumatism and bacterial infection as the predisposing and exciting causes of this condition. Then follow sections on the injuries and diseases of separate tissues, gunshot injuries, acute wound diseases, chronic surgical infections (including syphilis), tumors, surgical operations in general, foreign bodies, and bandaging. The second part of the work is really the clinical portion, devoted to regional surgery. Herein the author

especially endeavors to emphasize those injuries and surgical diseases that are of the greatest importance, not only because of their frequency, but also because of the difficulty of diagnosis and the special care demanded in their treatment. Throughout special attention has been given to diagnosis, the section on laboratory aids being unusually excellent. The text is elaborately illustrated with entirely new and original illustrations, and evidently neither labor nor expense has been spared to bring this feature of the work up to the highest standard of artistic and practical excellence.

A REFERENCE HANDBOOK OF THE DISEASES OF CHILDREN.- For Students and Practitioners. By Prof. Ferdinand Fruhwald, of Vienna. Edited, with additions, by Thompson S. Westcott, M. D., Associate Professor of Diseases of Children in the University of Pennsylvania. Octavo volume of 553 pages, with 176 illustrations. Philadelphia and London: W. B. Saunders Company, 1906. Cloth, $4.50 net; Half Morocco, $5.50 net.

To those of the medical profession who are acquainted with Professor Fruhwald's work in the original German, it is hardly necessary to speak of the extremely valuable service the W. B. Saunders Company has performed in presenting this English translation. It must be said, however, that the translation possesses an advantage over the original — though it be the work of a leader amongst leaders in pediatric knowledge in that the editor, Dr. Westcott, has incorporated much valuable matter, the results of his own valuable experience. With a view to making it of special service as a practical reference book, the individual diseases have been arranged alphabetically, with numerous cross-references. This is a novel feature of untold value to the busy practitioner who wishes information quickly. Special consideration has been given to symptomatology, and the prophylactic, therapeutic, and dietetic treatments have been elaborately discussed; especially is therapy treated according to the latest discoveries. The illustrations are practical and therefore excellent, nearly all being reproductions of original photographs and drawings representing cases from Professor Fruhwald's own clinic. Indeed, we can foresee for this work the same great success in this country that it has achieved in Germany.

DISEASES OF THE EYE.- New (5th) Edition, Revised and Enlarged. A Handbook of Ophthalmic Practice. By G. E. DeSchweinitz, M. D., Professor of Ophthalmology in the University of Pennsylvania. Octavo of 894 pages, 313 text-cuts and 6 chromo-lithographic plates. Philadelphia and London: W. B. Saunders Company, 1906. Cloth, $5.00 net; Half Morocco, $6.00 net.

Dr. de Schweinitz's work on the eye is so well known that anything but a mere mention of a new edition seems superfluous. The success it has achieved is readily accounted for if one but glances through its contents. In this edition, enlarged by the addition of new matter to the extent of some one hundred pages, there have been added, amongst other subjects, chapters on the following: X-Ray Treatment of Epithelioma, Xeroderma Pigmentosum; Purulent Conjunctivitis of Young Girls; Jequiritol and Jequiritol Serum; X-Ray Treatment of Trachoma; Infected Marginal Ulcer; Keratitis Punctata Syphilitica; Uveitis and Its Varieties; Eye-ground Lesions of Hereditary Syphilis; Macular Atrophy of the Retina; Worth's Amblyoscope; Stovain, Alypin; Motais' Operation for Ptosis; Kuhnt-Muller's Operation for Ectropion; Haab's Method for Foreign Bodies; and Sweet's X-Ray Method of Localizing Foreign Bodies. Other chapters have been rewritten. The excellence of the illustrative feature has been maintained and thirty-three additional text-cuts have been added. Dr. de Schweinitz's work was long ago recognized as an authority and this new edition goes a long way in strengthening its reputation, if any strengthening be needed.

Selections.

A MORE LIBERAL DIET IN TYPHOID FEVER.- Thomas A. Claytor states that it has been proved experimentally that the digestive and absorptive powers during typhoid fever fall off only five to ten per cent., so that impaired digestion is not sufficient argument in favor of the exclusive milk diet. The present trend of thought is toward the belief that the majority of diseases being due to specific poisons, recovery depends upon either the exhaustion of that poison, or the development of an antibody

of some sort which renders it innocuous. In order that he may withstand the ravages of the disease until the time of recovery, it is necessary to keep the patient in the best possible condition. The writer emphasizes the following points in the selection of a diet for typhoid fever patients: It must be highly nutritious, easily digested, innocuous, and palatable. The food must be sufficiently nutritious to maintain as far as possible the bodily equilibrium. The writer's treatment of a case of typhoid fever, no matter what day of the disease it may come under his care, is as follows: The regulation six ounces of milk are given every two hours, night and day, while the patient is awake. In place of milk, in order to vary the monotony for those who can take milk, and as a substitute for those who cannot, animal broths are given. After the subsidence of the more acute symptoms, the patient is asked if he is hungry, and if he replies in the affirmative a soft-boiled or poached egg is allowed, and if well borne the number is gradually increased to three or more a day. Jelly or blancmange, custard, soft toast, the soft part of baked apple, and rice which has been boiled four hours, are the next additions. After this, scraped beef or chop, very finely divided chicken, and baked potato are tried. The writer does not advocate so full a diet in every case, for each patient must be carefully studied as an individual. He believes that most of the foods mentioned are quite as digestible, far more palatable, and rather less likely to cause perforation or hemorrhage by their local action, or gas production, than milk. The writer appends a table of twenty-six cases. These patients all recovered. He adds that the advocates of the more liberal diet claim that the patient is more comfortable, the attack is slightly shortened, convalescence is more prompt, and relapse, hemorrhage, and perforation are not more frequent.- Medical Record, March 17, 1906.

THE HISTORY OF A DISCHARGE from an ear appearing a few days to a few weeks after the beginning of a slowly developing deafness in that ear, unaccompanied at any time by pain, is suspicious of tuberculous otitis media.-American Journal of Surgery.