THE APPROACH OF THE NATIONAL HOLIDAY, July 4th, suggests to the surgeon the necessity of preparing to handle cases of cannon-cracker wounds and other injuries caused by the explosion of fireworks. Many of these, in the nature of things, will be infected with the bacillus of tetanus or its spores, and will require the most scientific treatment to save life. It is necessary only to review the files of this and other leading medical journals to gather a fair estimate of the enormous sacrifice of life that this country makes every year in the celebration of Independence Day, and it behooves every medical practitioner to be prepared to receive and treat each case that presents itself with the best means at his command. Without repeating the statistical facts that have been cited again and again in support of the prophylactic use of Antitetanic Serum, it is only necessary to say that these facts conclusively prove the value of the Serum as a preventive of tetanus. It is injected in a single dose of 10 cc. immediately after the receipt of the injury, and should be repeated ten days later. The wound is to be thoroughly cleansed, avoiding the use of strong solutions or agents that coagulate the albumins, and packed with gauze well charged with Antitetanic Dusting Powder. Antitetanic Dusting Powder is Antitetanic Serum dried and powdered and mixed with a suitable quantity of Chloretone. It is recommended by reliable and experienced medical practitioners as a dressing for the wound in all cases in which tetanic infection is suspected. It is practically odorless and keeps well.

Antitetanic Serum and Antitetanic Dusting Powder are supplied by Messrs. Parke, Davis, & Co., and may be obtained through all druggists.

DIET IN SICKNESS. In all convalescent and invalid cases a certain diet is prescribed or recommended by the doctor or nurse-beef broth, beef and egg, beef and milk, mutton broth, chicken broth, clam bouillon, etc., and the one used which is most indicated by the condition of the patient. It is desirable of course to vary the diet because constant administration of one article of food leads to a monotony causing lack of appreciation and appetite, and in some cases even nausea.

Soluble Beef made into a broth or used in combination with other food is especially desirable for the sick where the recovery and building up process requires the administration of the greatest amount of nutriment in a form best suited to the enfeebled powers of digestion. The product which we have mentioned - Soluble Beef - is manufactured by Armour & Company, Chicago, and made from fresh lean beef, predigested to an albumose containing, according to analyses made by disinterested parties, fifty-four per cent. of proteid matter. In the process of predigestion of Soluble Beef, three purposes of digestion are fulfilled; the reduction of the food to an assimilable form; the separation of that which can be assimilated into organized texture from what is useless for the purpose and

which is at once rejected and the alteration of the chemical constitution of the first which prepares it for the important changes it has to undergo. Armour's Soluble Beef, therefore, is an assimilable and nutritious food ready for absorption into the system without assistance from the digestive organs, which in the sick and weak are unable to perform their functions. We are informed that Armour & Company are willing to supply physicians with samples of this high-class product upon request.

Dr. George D. KAHLO, Professor of Medicine and Clinical Medicine in the Indiana Medical College, the School of Medicine of Purdue University, and formerly dean of the Central College of Physicians and Surgeons, has accepted a position as physician in charge at the French Lick Springs Hotel and Sanatorium.

He will have associated with him as an assistant Dr. Clarke Rogers, of this city, and a corps of graduate nurses, and will have a complete equipment for the employment of the usual hydropathic, electric, and other treatments which are used as adjuvants in the management of cases at such places.

We congratulate Mr. Thomas Taggart, the president of the French Lick Company, in having secured their services, also upon his business acumen in recognizing what is necessary to secure the support of medical

men.

Dr. Kahlo has the confidence of the entire profession of the state, and we have no doubt will receive very hearty co-operation in his new work. We bespeak for him every success and are glad that his new duties will not interfere with his college work, as also that he intends to keep up his Indianapolis connections by retaining his city office, where he will have regular consultation hours one day in the week.

French Lick, so far as its waters and natural surroundings are concerned, has, we believe, advantages equal to any resort of this class. but little attention has been given to the development of its resources from a scientific standpoint. We believe that Dr. Kahlo will do much to develop this feature, for no one understands better than he the necessi ties of the case.- From Editorial in Indiana Medical Journal, May, 1905.

CHIONIA. Through considerable experience with Chionia, this remedy convinced me of the sterling merit in the treatment of biliousness and all other hepatic derangements, functional and organic. I have come to regard it as an ideal hepatic stimulant, with perhaps a wider range of therapeutic adaptability than any cholagogue medicine I am acquainted with. Perhaps its greatest advantage is the fact that its use is not followed by any reaction tending to induce a sluggish condition of the stomach and bowels, such as follows the use of many other remedies. It is a pharmaceutical triumph.-D. S. Maddox, M. D.

A NEW SANITARIUM IN NASHVILLE.- Drs. Hayden and Brown have opened a private sanitarium in this city for the treatment of alcohol and drug addictions and diseases of the nervous system. They have both been identified with this line of work for some years and have had much experience in treating this class of patients. They have a beautiful place, well furnished, heated, and lighted, and pleasantly located in the suburbs. They have furnished their institution completely with the latest medical appliances necessary for the successful treatment of such cases as may come under their care, which they are now in a position to receive and sucecssfully treat.

It is being run strictly on ethical lines, and inasmuch as there are so many unethical institutions now in operation, we recommend that our readers support and help get an ethical institution before the medical profession and give their support to ethical physicians. Although this is a new venture in this city, Drs. Hayden and Brown have had practical experience in this line of work, and such an institution has long been needed here, and we can most heartily commend this one, and speak confidently when we say that the gentlemen in charge will give thorough satisfaction. Members of the medical profession are most cordially invited to visit the institution and see for themselves. Write to them, corner Lischey and Marshall Avenues, Nashville, Tenn., or telephone 2843.

TROPHONINE is a saturated solution of nucleo-proteids and nucleo-albumens, as Hammarsten calls them, "complex phosphorized bodies and the nutritive material for the cells," which is the highest and most assimilable form of nutriment.

As digestion and nutrition depend upon absorption, the nucleo-enzymes of the digestive glands are added, thus Trophonine is not pre-digested, but acts in a more rational and natural manner by stimulating the digestive tract to absorb the food.

It is not only what you feed the patient, but what they can absorb that gives them the proper nourishment.

ONE METHOD OF SUBSTITUTION.— We are creditably informed that representatives of certain Eastern chemical houses are trying to introduce a mixture, claiming that it contains the same ingredients as Neurosine.

We have worked up a large demand for Neurosine exclusively with the medical profession; it is evident they are trying to reap where they have not sown. Physicians will readily recognize that the intention of the parties referred to, is to encourage "substitution," therefore, we deem it only necessary to mention this fact to doctors, as we believe they would not knowingly allow their prescription to be filled except with the identical drug prescribed. It is for the profession to determine the efficient results that have been obtained in the use of Neurosine, and not to

be induced to try that which is claimed to be "just as good." cheap.)

(Talk is

The satisfactory results doctors have obtained with Neurosine in cases where indicated will not, we think, warrant them changing to an untried mixture, or substitute, more especially when they only claim the same formula as Neurosine.

Doctors can rely on Neurosine, Dioviburnia, and Germiletum, which we manufacture exclusively for physicians to prescribe, being always kept up to the high standard of efficiency.- Dios Chemical Co.

NEPHRITIN is not a dried extract, or a dessicated kidney, but is the unchanged primary substances of the cells of the cortex and the convoluted tubules of the kidney, consequently the uniformally good results, which accompany it.

In giving the tablets, please bear in mind the following: Always begin with the maximum dose, giving it between meals and at bed time. Examine the urine before and as often during treatment as possible, regulating the dose to suit each individual case. In this manner, you will be able to get the best results.

Certain results, such as the diuretic effect, increase of the specific gravity, urea, and chlorides, are usually markedly noticed on the third day of treatment, sometimes not until the fifth, while in one unique case, Chaupin did not see results for eleven months, when he was much amazed with the results that afterward followed. Bear in mind that results for the better will come if given over a sufficient period, in some cases sooner than others.

PHYSICIANS Who prefer to encourage the process of digestion rather than to resort to artificial aid, claim that Seng gives most satisfactory results. Seng acts purely as a secernant to the secretory glands of the alimentary canal; and panax ginseng, the root from which it derives its physiological action, has been used for centuries by the Chinese for stomach and all other troubles. Of course, many claims made for it by the Chinese are ridiculous, but that it has a specific stimulating action on the secretory glands is generally conceded.

WE HAVE JUST RECEIVED from Messrs. Battle & Co., Chemists' Corporation, 2001 Locust St., St. Louis, Mo., the tenth of the series of twelve illustrations of the Intestinal Parasites, who will send them free to physicians on application.

"ROBINSON'S LIME JUICE AND PEPSIN" is an excellent remedy in the gastric derangements particularly prevalent at this season. It is superior as a digestive agent to many other similar goods. (See ad. page 17, this issue.)

Reviews and Book Notices.

LEFEVRE'S DIAGNOSIS. New (Second) Revised Edition.

A Manual of

Physical Diagnosis, Including Diseases of the Thoracic and Abdominal Organs. For Students and Physicians. By EGBERT LEFevre,

M. D., Professor of Clinical Medicine and Associate Professor of Therapeutics, University and Bellevue Medical College, New York. New (second) edition, thoroughly revised. In one 12mo volume of about 450 pages, amply illustrated.

The following notice of the previous edition is more than sustained by the new revised and enlarged edition: This book will take front rank. It is prepared by a teacher of experience and a clinician of accomplishment. Le Fevre gives adequate instruction upon all the details of physical diagnosis, together with all other directions for obtaining information in diseases of the respiratory and circulatory systems. The abdomen, too, receives equally detailed attention, and the same methods as applied to the thorax are employed and explained with the variations necessary to be made in the diagnosis of diseases of organs of the lower cavity.

INTRODUCTION TO MATERIA MEDICA AND PHARMACOLOGY, including the Elements of Medical Pharmacy, Prescription Writing, Medical Latin, Toxicology, and Methods of Local Treatment, by OLIVER T. OSBORNE, M. A., M. D., Professor of Materia Medica, Therapeutics, and Clinical Medicine in the Yale University; Ex-President of the American Therapeutic Society; Ex-Chairman of the Section on Pharmacology and Therapeutics of the American Medical Association. Cloth, 12m0, 167 pages. Price, $1.00. Lea Brothers & Co., Publishers, Philadelphia and New York, 1906.

This is a very excellent little work for the beginner in medicine and allied sciences. It will also serve admirably to refresh the memory or for quick reference for those engaged in practice who have not time to consult more voluminous works. Dr. Osborne is so well known in the field of practical and scientific therapeutics that the appearance of his name on the title page of any book will ensure it careful reading. That this reading will prove to be most profitable goes without saying.