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umbia dealer or by sending five 2-cent stamps to the Calendar Department, Pope Mfg. Co., Hartford, Conn.

The first issue of the story by Harold Frederic, "The Market Place,” will begin in the "Saturday Evening Post" December 17, 1898. This last story of Harold Frederic is said to be the best of all his novels. In it he put his best powers and highest enthusiasm. Its publication in the “Post,” now owned by the Curtis Publishing Company, Philadelphia, Pa., will be awaited with much interest.

Surgical and Therapeutical Points.

Conducted by

JOHN B. GARRISON, M.D.

Always examine the urine in cases of fever, as it will likely save many a mistake.

Relief from dancing or other rapid motion is one of the characteristics of silicea.

Tannalbin is said to be very effectual in the cure of persistent diarrhæas, but the exact kind in which it is most useful, is not stated.

Headaches where the head seems to be opening and shutting, and feels as if a bolt was being driven up from the back to the neck to the vertex, are cured by the administration of actea racemosa.

Carbide of Calcium is a disinfectant of great value as well as an antiseptic. Cancerous ulcers that were terribly offensive, and that could not be operated upon, have been made perfectly inoffensive by its use.

Ferrum phos. is indicated in rheumatism when the patient has recently been exposed to cold; loss of appetite; pulse full and rapid; temperature high; location preferably in the right shoulder, which is very sensitive to touch.

Aqua levico, the arsenic-iron-copper water, from the springs at Levico, is said to be of great value in anemic, chlorotic, neurasthenic and neurotic conditions. It should be proved to ascertain its proper place in the materia medica.

In plaster splinting care should be taken that they are, first, strong; second, conformable; third, removable; fourth, light, named in their relative order of importance; and if one other requirement were to be named, it would be that they be made of something accessible.-HANCHETT.

For winter colds with a thin watery discharge from the nose, which makes the upper lip sore as it runs over it; with a stopped-up feeling in the nose; frontal headache, sneezing, which does not relieve at all, and photophobia ; aggravation when going near a fire and relief by going into the open air ; then prescribe arsenicum.

Remittent malarial fever may closely simulate typhoid fever, and confusion in diagnosis, especially in malarial districts. But the sudden onset of the disease, the more marked gastric and bilious symptoms, the occurrence of herpes, will, with the frequent sweating, point to the malarial nature of the infection. A careful examination of the blood will usually make the diagnosis clear at once.

To determine between typhoid and acute miliary tuberculosis, is very difficult. Both are apt to appear in individuals that have been previously apparently healthy; both have high fevers and spleen tumors. In both is bronchitis present with great prostration. The cyanosis and dyspnæa of tuberculosis is, however, greater than it is in typhoid—the cyanosis being especially a marked symp

A positive symptom, but an unusual one, of tuberculosis, is the finding of tubercles in the choroid membrane.

Ichthalbin, the new tasteless and odorless form of ichthyol prepared for internal use, is an acceptable addition to the pharmaceutical preparations now upon the market, and those who have found ichthyol to be a valuable remedy and yet have been unable to have their patients tolerate it, will gladly welcome it. It is "ichthyol albuminate," and it is claimed for it that it regulates defecation, disinfects the intestines, stimulates the appetite and augments assimilation. The dose is from eight to thirty grains, two or three times a day.

That Syphilis may be cured permanently with potencies is advocated in an article by J. M. Selfridge in the "Homeopathic Playsician" for July. He claims that the sore, or chancre, is not the disease, but the result of diseased action, and he cites a case cured by him in five months with mercurius viv. 30, and syphilinum C.11., tħat came to him several weeks after the sore had appeared, with great swelling of the penis, paraphimosis and buboes. No extern al treatment except cleansing the parts with water was permitted, and when well there was scarcely a scar to be seen.

To apply a plaster bandage first apply a “lining" next to the skin, and the eiderdown, or baby cloaking, is a most excellent material for that purpose, and see that it is fitted tightly to the parts, placing the cloth warp-ways; the nap is better next to the skin. A seam in-run with a waxed thread, which may be pulled out like a basting thread, to open the lining when the splint is set. The edges of the seam are left standing out; the plaster is quickly applied to this lining in the consistency of thick cream. Care is to be taken not to cover over the seam with plaster. Next a wet net bandage is applied about and over the plaster, and again plaster cream is rubbed into the netting clean over the seam. This cream must be thin enough to penetrate the netting through to the lining. The ridge at the seam is easily seen and a V-shaped groove is cut above

the seam to open the splint. The thread is drawn out of the lining and the splint is no longer a fixed dressing:-Ibid.

Pain in the Back is One of the Most Common symptoms complained of in uterine disease. It may be the only manifestation of such disorder and is probably, except when the uterus is greatly enlarged, purely reflex. That it is not due to pressure is evident from the fact that it is found when the fundus is directed forward as well as backward, and in various lesions of the pelvic organs giving rise to no pressure. It nevertheless occurs oftener in retro-displacements and particularly in retroflexion. Expulsive efforts of the uterus will likewise excite lumbar pain, hence it is a symptom of the obstructive form of dysmenorrhea, and occurs whenever the uterus contracts upon any foreign body or substance. Prolapse of the ovary and lesions of the cervix and endometrium may also cause a most persistent backache.-Wood's Gynecology.

Record of Medical Progress.

GENERAL MEDICINE.

CONDUCTED BY
LOUIS APGAR QUEEN, M.D.,

AND
J T. O'CONNOR, M.D., Ph.D.,
H. M. DEARBORN, M.D.,
WM. H. VAN DEN BURG, M.D.,
L. L. DANFORTH, M.D.,
A. B. NORTON, M.D.,
H. WORTHINGTON PAIGE, M.D.,
W. F. HONAN, MD,
EDW. D. TUTTLE, M.D.,

Neurology.

Dermatology. Internal Medicine.

Obstetrics. Ophthalmology and Otology.

Laryngology.

Surgery. Gynæcology.

NEUROLOGY.

MALFORMATION OF THE CEREBRUM IN CONNECTION WITH SPINAL CHANGES.—Dr. Solowzeff had opportunity to examine anatomically three undeveloped brains from inmates of the Moscow Foundling Asylum. Of these, two lived six days, the other fifty days. In all of them the autopsy showed the cranial cavity to contain only the cerebellum and brain axis, with malformed corpora quadrigemina and thalamus opticus covered by the membranes. The cerebrum was represented by a formless small outgrowth. Microscopical examination revealed complete absence, through their whole extent, of the pyramidal tracts. Examination of the cells of the spinal cord (Nissl, after previous hardening in formalin), gave very interesting results.

While the cells of the posterior horns and of the intervertebral ganglia showed no variation from the normal, the cells of the anterior horns were seen to consist chiefly of a large nucleus surrounded by a coarse meshed achromatin net of varying breadth, with occasional vacuoles. Chromatophile granules were entirely absent, although chromatophile substance was apparently present, but in a diffuse state.

Parallel examinations of undelivered fetuses showed a similar condition of the cells of the anterior horns; the chromatophile granula appear first in the seventh month of intra-uterine life. From this S. concludes that the cells in the three described cases were arrested in their development, the reason for such arrest being the absence of the pyramidal tracts whose influence is stimulating to the cells of the anterior horns. In the normal embryo the fibres from the pyramidal cells of the cerebral cortex reach the motor cells in the anterior horns of the cord, at about the seventh month, and then begins the final formation of the latter.- Neurolog. Centralbl. 4. 1898.

THE NEURONE THEORY IN RELATION TO SOME NORMAL AND PATHOLOGICAL PSYCHICAL STATES.-Soukhanoff (Archiv. de Neurol. 17, 19, 1897), offers some theoretical views based upon the observations of Wiedersheim, who was able to observe the nerve cell in lower animals in its activity, and who noted changes of form therein. lpon this observation S. founds the hypothesis that the substance of the protoplasma processes of the pyramidal cells of the cortex have, under the influence of stimuli, the faculty of contracting, of taking a different form and of sending out new branchings.

The protoplasma substance of the neurone, continues the author. is a continual oscillation or vibration which is increased w-ith the increase of functional activity. Every increase of the molecular wave acts as a stimulus, and thus is accompanied by change oi form and proliferation of the finest dendrite branchings, and by new acquisitions of ideas from newly experienced contact.

['pon the intactness of these protoplasma processes, the regular course of psychical activity is dependent. When the proto plasma processes are incapable of such changes, dementia follou-s. In organic dementia the terminal dendrites are destroyed; in fun ctional dementia the activity of the protoplasma processes is inl zibited, possibly through the action of a toxine. In mania the mobility of the protoplasma processes is increased; in melancholia it is les sened.

In a similar way, the author endeavors to explain a whole series of psycho-pathological actions.-Archiv. de Neurol., 17, 19.

GENERAL MEDICINE.

Hain

52,

CAESAREIS SECTION WITH TRANSVERSE INCISION OF THE FUNDU'S.-In the Wiener klinische Wochenschrift, No. reports the following case:

The patient was a primipara, aged thirty years, who had been in labor thirty-six hours. She had a justo-minor pelvis, with true conjugate less than three inches. The abdomen was

opened, an

elastic ligature placed about the cervix, and the uterus opened by a transverse incision across the fundus. The child and placenta were readily removed. Seven silk stitches closed the deeper tissues in the uterus, and the superficial parts were readily brought together. There was considerable hemorrhage, which was controlled by the injection of ergot. The patient made a good recovery.

LIQUID BENZOIN FOR BENZOINATING LARD.-Mr. Richard M. Shoemaker, noting that the benzion of cemmerce is largely adulterated, macerates for twelve hours benzoin, 20, in ether, 40, filters, and dissolves castor-oil, 15, in the filtrate, from which the ether is carefully distilled. This oily product contains the benzoin acid and the volatile principles. To make benzoinated lard, white wax, 20, is melted by steam-heat with dehydrated lard, 965, to eliminate water; the above liquid, 15, is added and the mixture stirred until cold. In warm weather a larger amount of wax should be used.--American Journal of Pharmacy, 1898, No. 1, page 9.

IODOFORM-ETHER IN THE TREATMENT OF CERVICAL CATARRH. Doleris (Bull. Génér. de Thérapeut., 1897, No. 11) speaks highly of local applications of iodoform-ether in cases of obstinate cervical endometrtis. The iodoform is thought to exercise an antiseptic action, while the ether, by causing strong contraction of the tissues, forces out the contents of the diseased glands.

(This preparation promises much ; its taste is by no means unpleasant, and thus far our use of it has been satisfactory.-R.W.W.)

Solid TUMOR OF THE MESENTERY.-Harris (Annals of Surgery, July, 1898) reports a rare case of tumor of the mesentery which weighed five pounds, and proved on microscopic examination to be a "lympho-sarcoma flexiform with colloid degeneration."

The tumor was situated in the mesentery and was crossed by an entire loop of jejunum, which it was necessary to sacrifice in order to remove the tumor; it was resected on either side of the tumor, the tumor removed, and the gun united by end-to-end anastomosis. The patient, who was a boy, five years old, made an uninterupted recovery, and was in excellent health ten months after the operation.

TuE TREATMENT OF PLACENTA, PRÆVIA.—In the Glasgow Medical Journal, January, 1898, Jardine reports the case of a patient eight and a half months pregnant, who had a marginal placenta prævia. The membranes were ruptured and the uterus stimulated by friction. The patient delivered herself spontaneously, and made a good recovery.

Jardine has collected fifty-one cases in which various methods of treatment were employed. In one of these labor was induced for contracted pelvis, and De Ribes' bag was introduced as a dilator. The bag burst, and severe hemorrhage occurred. The child was immediately delivered, when it was found that the placenta had been attached low down. The patient died of shock.

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