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CURRENT MEDICAL THOUGHT

Medical and Surgical History of the Rebellion.

1. How many volumes constitute a full set of the Medical and Surgical History of the War of the Rebellion? How many of the volumes are devoted to medical and how many to surgical subjects?

2. What is the probable value, in money, of a complete set of this work in good condition ? Cherryvale, Kan.

GEO, M. SEACAT, M.D. Surgeon-General, Washington, D. C.,

Dear Sir :-Can you inform us how many volumes constitute a full set of the Medical and Surgical History of the War of the Rebellion ? and how many of the volumes are devoted to medical and how many to surgical subjects?. Also, what is the cost of the complete set? We wish this information for publication in THE MEDICAL WORLD, and will be greatly obliged to you if you will supply it. We have been informed that this work is a government publication, and that you could probably give us data concerning it.

Thanking you in advance, we remain, very truly yours,

THE MEDICAL WORLD. THE MEDICAL WORLD,

1520 Chestnut Street, Philadelphia, Pa.: The Medical and Surgical History of the War of the Rebellion was publisht in six (6) volumes, in three parts, one medical and one surgical volume to each part. No copies have been printed for sale by the Government. No sets of this work remain on hand for distribution by this office, the supply having become exhausted some years ago. The cost of this work is not known to this office, but can probably be ascertained by addresing the Public Printer, Washington, D. C.

R. M. O'REILLY, Surgeon-General, United States Army. The Public Printer, Washington, D. C.,

Dear Sir:-Can you inform us as to the cost of the Government publication entitled the Medical and Surgical History of the War of the Rebellion ? Also, what do you think would be the probable value of a set in good condition? We wish this information for publication in THE MEDICAL WORLD, and will be greatly obliged to you if you will supply it. The Surgeon-General wrote us that we could probably get the desired information from you.

Thanking you in advance, we remain, very truly yours,

THE MEDICAL WORLD. Editor MEDICAL WORLD :-Replying to your letter to the Public Printer, asking the price of the Medical and Surgical History of the War of the Rebellion, and inquiring as to the probable value of a set in good condition :

1. The set consists of six volumes, three medical and three surgical. The latter are profusely illustrated with cuts and colored plates. The price of a set is $38.00.

2. As to the probable value of a set to a physician or surgeon, I am unable to give an opinion which will be of value to any one of the medical profession. However, I do not think the work is of any value now except for the statistical and historical information it contains. Very respectfully, L. C. FERRELL,

Superintendent Government Printing Office.

Treatment of Those Dying from Exposure

to Cold. “ The indications for the care of persons in whom death from cold is imminent include the preservation of the remaining body warmth, the provision, in every way possible, of warmth to make good the loss which has occurred, and the maintenance and stimulation of the flagging circulation. After immediate reaction has been obtained, the subsequent measures should be directed to overcome the more or less persisting effects of the wide spread internal congestion, especially of the kidneys, alimentary tract, lungs, and brain, and the establishment of full excretion and of nutrition. The first of these indications demands the immediate application of large amounts of light nonconducting clothing. The patient should be immediately, or as quickly as possible, placed in a warm bed. Hot diffusible stimulants should be administered, and hot bottles and other external heat applied to the surface. The skin should be thoroly rubbed with hot towels. Among the stimulants indicated, whiskey, strychnin, and digitalis are probably the best. Hot saline enemata may be administered with benefit. The body should be placed in such position that determination from the brain will naturally occur ; but with any sign of syncope the head should be lowered at once. After the reaction has been establisht, the further treatment of the case resolves itself into that of the nephritis and other inflammations which may arise, and must necessarily vary greatly with the intensity and special involvement of this or that organ. In every case, however, the necessity for the care of the nutrition and the establishment of free renal and dermal excretion must enter largely into the special treatment, in order to afford the means of maintaining the chemical activities upon which the thermogenesis depends, and in order to free the system of the deleterious products which have formed or accumulated during the period of refrigeration." Text-book of Legal Medicin and Toxicology: Peterson and Haines.

[The above is quoted verbatim, as the latest text-book utterance upon the treatment of such cases, and because of its wide variance from the accepted teaching.- ED.]

When the facts concerning the political experiments in New Zealand become widely known among our people, this knowledge will cause a revolution-a peaceful and up-building revolution-in this country. An invasion by armies can be resisted; but ideas cannot be resisted, nor can they be barred out of the country; they permeate and conquer. One or more copies of “ The Story of New Zealand ” should be in every community, and passed from hand to hand. Now, during the winter, farmers and many others have more time to read than during other portions of the year. It is a beautifully illustrated cloth-bound book of over 800 pages; price $3. Address orders to this office.

C. F. Taylor, M. D. :-“ The Story of New Zealand is a great book. Every statesman and legislator ought to read it. Waterproof, La.

MARK ANDREWS, M. D.

In suppuration about the fingers of working men, when the skin is tough and calloused, and no site for puncture is evident, it is good practise to shave off the outer hardened epidermis until the wound is about to bleed, and then to apply a good poultice. The pus will find its way to the thinned skin quickly, and immediate relief is often obtained from the lessening of tension.

Notes on Traumatic Pneumonia. after the lungs have shown apparent cure, bears W. T. English, M.D., in an article on Trau- no responsibility as a causativ agency. The matic Pneumonia, read before the meeting of rusty sputum is likely to succeed upon the the American Medical Association in New streakt sputum as soon as the pneumonia Orleans, says:

“When a physician is called reaches the second stage. Moreover the diploto a case of injury liable to produce traumatic coccus is to be found in traumatic pneumonias pneumonia he will probably find a rapid pulse as easily as in cases free from injury. and accelerated respiration, and in fully 65 per. cent the sputum will show some trace of blood

Biography of a Fool. within a few hours, if not immediately. The shock is the first element of alarm requiring

He didn't have time to chew

The food that he had to eat, attention. The respiration reaches 60 to 70

But he washt it into his throat per minute, but is not so common a symptom

As if time were a thing to beat. in adults as in children, and does not always

At breakfast and lunch and dinner

'Twas a bite and a gulp and go correspond with the gravity of the case. Oh, the crowd is so terribly eager, Hamilton notes that “expectorations of blood

And a man has to hurry so !

A bite and a gulp and away in most cases occur immediately-frequently

Ho the books and the ticker! A bite not till after the lapse of several hours, or even

And a drink and a smoke and a seat days, but it is rarely seen after the fifth, sixth,

At a card table half of the night;

A pressure, a click and a pallor, or tenth day.The speaker observed a case

A cloth covered box and a song; recently in which the spitting of blood per

A weary old fellow at forty,

Who is deaf to the noise of the throng. sisted fourteen days. Dyspnea may be absent,

-Chicago Times Herald. and no duskiness of the face, and nothing to suggest injury except disturbed breathing. No

Texas Examination Questions. Used at Ft. general or extensiv contusion may appear

with

Worth, October 13 to 15, 1903. the history of a slight blow affecting one por

ANATOMY. tion of the chest, and yet the shock be disas

1. Describe the upper third of the femur. trous. A condition of syncope immediately 2. Describe the ankle joint, giving also the articulation of bones

entering into its formation. following trauma may be due to direct stimu

3. What anatomic structures would be cut in an amputation of lation of the vagi, or to cardiac compression.

the upper third of the leg?

4. Describe the fourth ventricle, The depressor nerves and the sympathetics 5. Give the origin, course and distribution of the inferior maxilmay also act as causativ agents in lowering the

lary nerve.

6. What is Scarpa's triangle? Give its boundaries and relation blood pressure during any prolonged period.

of the vessels and nerve. The examination of these patients must be

7. Give the origin, insertion, nerve supply and action of the fol

lowing muscles : Pronator radii teres, biceps, and levator conducted with celerity, and the physician

ani; describe each separately.

8. Give the origin, course and branches of the external carotid should endeavor to give the patient as little discomfort as possible. The horizontal posi

9. Describe the kidney, giving its relation and also the relation of

the structures entering and leaving it. tion is usually the safest and the one causing 10. Give a brief anatomy of the entire alimentary tract. the least suffering. The external bruise or

PHYSIOLOGY. contusion will heal rapidly, and the pneumonia 1. Define blood pressure and the different agencies by which it is usually gives its characteristic signs and symp

2. Name the two chief divisions of the nervous system, and extoms after forty-eight hours from the time of plain the difference in function between an afferent and an the contusion. The pneumonia may or may

3. Explain the function of bile and the glycogenic function of not be promoted by a destruction of the con

the liver.

4. Explain the mechanism of respiration and the changes which tinuity of the lungs, pleura or bronchial tubes,

take place in the blood and the air breathed during the and the mechanical jar of the impinging stroke

5. Name the important constituents of gastric juice and the final cause a slight tenderness or soreness which product of gastric digestion.

6. What route does fat take to reach the blood stream? may arouse latent pneumonic energies which

7. What is the ordinary temperature of the body in health, and otherwise might have been continued in abey- how is it maintained ?

8. Give the origin and function of the different fibers of the triance or be counteracted without reaching the facial nerve. dignity of pneumonia. Slight concussions are 9. Name the respiratory center and give the function of the tenth rarely dangerous in a purely surgical sense, but 10. Describe the temporary and permanent teeth and the usual can thus directly prove fatal, and it is well to

age for the eruption of each. remember that infection may come to the

CHEMISTRY. lungs thus crippled and phthisis speedily fol- 1. How would you test for albumin in the urin by heat? State low. The relations of time to these conse

possible errors.

2. What is Heller's test for albumin in urin ? quences are very variable, and it is not safe to What is Trommer's test for sugar in urin, and how made ?

4. Give Marsh's test for arsenic. say that pneumonia coming on a fortnight 5. Describe an electric battery, and explain the operations of the

chemicals used. after the injury of the lungs is not due to con

artery.

maintained.

efferent nerve.

same.

cranial nerve.

3.

6. Give the chemistry of respiration, showing what is inhaled, cussion, nor is it to be regarded as a safe posi- what is exhaled and how the gases enter and leave the tion to assume that a phthisis, following years 7. How is oxygen administered to a patient in bed ?

blood.

8. What are the chemical antidotes to be used in carbolic acid

poisoning? 9. What chemical antidotes should be used in corrosiv sublimate

poisoning? 10. What chemical antidote should be used in arsenical poisoning, and how would you prepare it?

HISTOLOGY. 1. Name different varieties of epithelium. 2. Describe the periosteum. 3. Where is non-striped muscular tissue found ! 4. Name and describe the coats of an artery. 5. Describe the wall of a capillary blood vessel. 6. Describe a lymph gland. 7. Give the structure of the pia mater of the brain. 8. Give the structure of a hepatic lobule. 9. Describe an air cell. 10. Give structure of a malpighian corpuscle,

PATHOLOGY. 1. What diseases are attended with ulceration of the intestin? 2. What diseases are attended with cardiac hypertrophy ? 3. What general pathological lesion characterizes chronic alco

holism? 4. What degenerativ changes occur in the walls of an artery? s. Give pathology of malarial cachexia. 6. Give pathology of scarlet fever. 7. What diseases are characterized by the formation of a mem.

brane in the throat ? 8. Give pathology of locomotor ataxia. 9. What changes are produced in the cerebral tissues by a

thrombus? 10. Give pathology of acute pleurisy.

MATERIA MEDICA AND THERAPEUTICS. 3. What is (a) Fowler's solution, (6) Donovan's solution, (c).

10. What are the symptoms of the socalled puerperal insanity

Give an outline of its treatment.

GYNECOLOGY. 1. Give the blood and nerve supply of the uterus, ovaries and

vagina. 2. What are the means used in examination of the pelvic organs

of the female ? 3. Describe the preparation necessary for an aseptic gynecologic

operation in private practise. 4. Give the etiology, pathology, diagnosis and treatment of vul

vitis pruriginosa, or pruritus of the vulva. 5. Give the pathology, symptoms, prognosis, complications and

treatment of specific vaginitis. 6. (a) Give the subjectiv and objectiv symptoms of imperforate

hymen. (6) Describe the operation for its relief. (c) The

dangers attending or following operation and after-treat7. (a) Give the ascribed causes of calculus in the female bladder.

(b) The most common varieties. (c) The different methods

of treatment of the same. 8. What are uterin fungosities; symptoms and technic of treat

ment? 9. What are the most common benign growths found in the cavity

of the uterus ; causes, symptoms and treatment? 10. (a) Give the causes of retroversion and retroflexion of the

uterus. (6) Give the differential diagnosis between the two. (c) The treatment of each.

ment,

brown mixture, (d) Monsell's solution ? 2. Name the principal local systemic emetics, and give their

doses. 3. Physiologic action and therapeutics of pilocarpin. 4. What is (a) Mentha peperita and (b) Mentha virides, with

their preparations and doses ? 5. What are (a) escharotics, (b) antipyretics, (c) anthelmintics

and (d) emollients? Name principal drugs belonging to

each group 6. What is (a) an alkaloid, (6) a decoction, (c) a tincture, and

(d) a fluid extract ? 7. What is the physiologic action of amyl nitrite, and for what is

it used ? 8. For what is arsenic used ? Give symptoms and treatment of a

case of arsenic poisoning? 9. Name the various groups of cathartics Give the names of

members of each group, with their different actions. 10. What is the source of digitalis? Name its preparations and their doses,

PRACTISE OF MEDICIN. 1. Mention briefly the diagnosis and treatment of yellow fever,

and the measures to prevent its spread. 2. Give the symptoms and treatment of diphtheria. 3. Give the varieties of malarial fever and their treatment. 4. Give the treatment of typhoid fever, and state briefly the

measures to prevent infection. S. Give in detail the early diagnosis of tuberculosis of the lungs,

and briefly the treatment. 6. State briefly the care and treatment of scarlet fever until dis

missed. 7. Give the diagnosis and treatment of lobar pneumonia. 8. Give the diagnosis and treatment of Bright's disease. 9. Give briefly the management and treatment of smallpox. 10. Give the medical treatment of appendicitis.

OBSTETRICS. 1. (a) Give the anatomy of the ovaries, (b) the uterus, (c) the

vagina, and (d) the anatomic relations of each 2. Describe the phenomena of ovulation and menstruation. 3. Describe the development of the fetus in the different months

of pregnancy. 4. Give the causes and prevention of abortion, and treatment of

inevitable abortion. 5. State some of the more important physiologic changes in the

genitalia during a normal pregnancy. 6. State some of the more important changes in the maternal

organism during pregnancy. 7. (a) is the pregnant woman immune from any disease? (6)

Does pregnancy modify or increase the severity of acuté infectious diseases? (c) What are the chief dangers ? (d) State in full what is the duty of the physician in regard to

pregnant women during epidemics. 8. Puerperal infection: Give its etiology, pathology, diagnosis,

prevention and treatment. 9. (a) What is the difference between the insanity in the pregnant

woman and the puerperal state and that at any other period of the woman's existence? (6) What are the predisposing causes of insanity in the pregnant and puerperal state?

SURGERY. 1. Give the rules to be observed in administering a general an

esthetic. 2. In case of threatened death from general anesthesia, what

measures should be instituted ? 3. Describe an amputation of the middle third of the thigh, and

the antiseptic precautions before operation. 4. Under what circumstances should you operate in a case of

gangrene? 5. Under what circumstances should you operate in a case of

appendicitis ? 6. Give the different varieties of stricture of urethra and methods

of treatment. 7. Classify the different dislocations of hip joint, and treatment

of each. 8. Give different methods of arresting arterial hemorrhage, 9. Give different methods of treating hemorrhoids. 10. Give diagnosis and treatment of fistula in ano.

Eye, EAR AND THROAT. 1. Give diagnosis and treatment of iritis. 2. Give diagnosis and treatment of acute glaucoma. 3. Give diagnosis and prognosis in recurrent fibroma of nose. 4. Give etiology and treatment of mycosis of external ear. 5. Give diagnosis and treatment of mastoid disease or suppurativ otitis media.

HYGIENE. 1. At what temperature would you keep a sick room, and how

ventilate it for a patient with pneumonia ?. 2. Give details of fumigating a room, recently occupied by a

patient with scarlet fever, with sulfur and with formalin. 3. In hospitals, prisons, etc., what should be the minimum num.

ber of cubic feet of air space allowed for each occupant? 4. How soon should a child be allowed to return to school after

having had scarlet fever? 5. What is the best general method of purifying drinking water? 6. Where is the contagion of typhoid fever found; how

carried, and how is the spreading of the disease prevented ? 7. At what temperature is it necessary to heat milk to sterilize

and pasteurize it? 8. Below what degree of temperature is it necessary to keep milk

to prevent its souring or " turning "'? 9. What per cent of the oxygen inhaled is consumed during an

ordinary inspiration ? 10. What percent of carbonic acid gas is there in exhaled air

during ordinary respiration ?

MEDICAL JURISPRUDENCE. 1. Of what does medical jurisprudence treat ? 2. What do you understand by the term “ medical expert”! 3. State the difference between criminal and civil malpractise. 4. Give in detail the duties of the practician who is called to in

spect a dead body. 5. What precautions are absolutely necessary to make a physi.

cian's testimony of value, when vomited matters, medicins, articles of clothing, blood stains, or any part of the human

body is committed to his care for inspection or analysis ? 6. Name some of the violent causes of death. 7. Give in detail the conditions which would warrant the induc

tion of abortion by the practician
8. At what stage of intrauterin life does the fetus become viable ?
9. What are the evidences of a live birth subsequent to respira-

tion ?
10. Define the word "insanity."

Prevention of Nephritis in Scarlet Fever. seldom for several hours. In many cases there

[The following extract is from Nothnagel's Encyclopedia of occurs simultaneously, or soon thereafter, an Practical Medicin, publisht by W. B. Saunders & Co.]

abundant excretion of urin. In the case of Every scarlatinal patient, whether lightly or outspoken nephritis this procedure is to be gone severely affected, should be kept in bed at least thru with twice each day. The temperature of four weeks and longer if the epidemic is one in

the bath is raised to 104° F. or 105.8° F., and which there is much nephritis ; not because I this is best accomplisht by beginning at 102° fear his catching cold, but because I am of the F. and gradually adding hot water. 'The duraopinion that a uniformity of the body temper- tion may be lenghtened to an hour, but usually ature such as is insured by a rest in bed may a half hour is sufficient. A wet cold cloth on have a markt significance. In regard to nour- the head should be frequently changed during ishment we avoid everything that transgresses the pack: this hinders as far as possible conthe cardinal rule that one should give to scar- gestion of the brain. A febril condition does latinal convalescents, as rapidly as possible, a not contraindicate diaphoresis when instituted substitute for what they have lost during the

in this manner, even when the temperature is disease. For this purpose a milk diet is hardly very high. In the further course of scarlatinal suited. Heretofore there has been much fear nephritis one may attempt the use of diuretics. of giving a diet rich in albumin. This is with Digitalis comes into play as a cardiac remedy out ground. The functional activity of the dis- in nephritis, as in every case with its peculiar eased kidney has been proved adequate for the power, and is often a grateful measure. excretion of the nitrogenous bodies manufactured from the albumin. Of course such forms

Care of Catheters. of nourishment must be avoided as tend to Nothing is more annoying than to be precause digestiv disturbances. A free diet, even pared to use a catheter and find it unfit, of the albuminous fuods, and not too small a dangerous, or totally useless. Yet many pracquantity of liquid. The acids are very appro- ticians treat their catheters less carefully than priate in this condition, and alcohol is not con- they polish (or fail to polish) the nickle plattraindicated, if there is any need for it, tho it is ing on their instruments. With perfect care, well not to use it in the form of beer. Daily a catheter will last a long time, and will always baths should be given at the temperature be in condition for immediate use. of the body, and lasting from a quarter

1. Immediately after use, hold the instrument to a half hour; they have a beneficial in- in running boiling water for three minutes, and fluence upon the reproduction of the skin, make certain that the water enters the lumen of which has suffered in nutrition, owing to the instrument as well as flows along the outer the scarlatina. The temperature of the room sides. should be about 68° F., and the patient 2. Scrub the instrument with brush and soap not too lightly covered. The amount of urin and water. excreted daily is to be carefully observed. 3. Rinse well, and place in a bottle of When possible, an examination should be glycerin to which a dram of formaldehyd has made daily for albumin, and this can be done been added to each two ounces of glycerin. perfectly well at the bedside. One must look 4. When wanted for use, remove from fordiligently for the edema which often precedes malized glycerin and rinse well in steril water; the albuminuria, or the hematuria, in point of lubricate with sweet oil or vaselin. time; in this respect special attention should 5. After use, cleanse immediately and replace be paid to the eyelids. As soon as there is a in formalized glycerin. suspicious appearance I employ hot baths, with 6. If it is inconvenient to keep the catheters a hot pack following. One should begin with in a bottle, cleanse at once after use, shake water at a temperature of 102.2° F., and leave well, and hang up in a warm place by sticking the patient fifteen minutes in the bath. He is

a pin thru the edge of the distal end; when then directly wrapt in a linen sheet soakt in hot dry, wrap in steril cloth or paper. water, and with one or more blankets, laid in a Catheters may be conveniently and quickly warm bed, and well covered up. After one or sterilized by washing in water to which an two hours, during which he is given consider

ounce of formaldehyd has been added to a able quantities of hot fluids, the patient is re- pint; dry as above. lieved of his wet coverings, and rubbed well with warm, dry towels. He is then given fresh One of the strongest drawing poultices it is possible warm clothing and kept in bed. Care must be

to make, and one whose ingredients are always at

hand, is prepared by stirring common salt into the taken that the bed is neither moist nor cold,

yellow of an egg until a thick paste is formed. The and the patient must be warmly covered after salt should not be added in sufficient amount to absorb the bath. Usually there is an immediate and

all the moisture. The application is too severe in very

high grades of inflammation, but it is not excelled for free perspiration which lasts by no means

power where it can be tolerated.

Diabetes Insipidus.

described, and the best therapeutic measures recorded. Diabetes insipidus exists simply as a profuse beautiful chromo-lithographic plates, to each one of

The text has been amply illustrated by a series of flow of urin dependent upon some disorder of which a clinical history is appended. innervation of the kidney or upon atony or relaxation of this organ. Its treatment con- Modern Surgery. General and Operativ. Fourth edition,

greatly enlarged and entirely reset. By John Chalmers Da Costa, sists in the use of astringents and tonics, and

M.D., Professor of the Principles of Surgery and of Clinical Sur in some cases in the employment of opium or

gery in the Jefferson Medical College, Philadelphia. Handsome

octavo volume of 1099 pages, with over 700 illustrations, some in belladonna, particularly if the oversecretion colors. Philadelphia, New York, London: W. B. Saunders &

Co. Cloth, $5 net; sheep or half morocco, $6. rests upon nervous irritability. Gallic acid may be used in 20 grain powders three times

This work presents in a concise form the fundaa day, and the fluid extract or wine of ergot is

mental principles and the accepted methods of mod

ern surgery. The author's extensiv experience as a often of service given in the dose of 30 minims teacher is evident thruqut the entire work, the to a dram of the former to a wineglassful of

statements being clear and to the point. There have

been added over two hundred excellent and practical the latter. As tonics the sulfate of iron and

illustrations, greatly increasing the value of the work. strychinin are indicated. Suprarenal gland may be employed in some cases.-“ Practical A Compend of Diseases of the skin. By Jay F. Therapeutics." Hare.

Schamberg, A.B., M.D., Professor of Diseases of the Skin, Philadelphia Polyclinic and College for Graduates in Medicin. Third edition, revised and enlarged. With 106 illustrations. Publisht

by P. Blakiston's Son & Co., Philadelphia, Pa. Price, 80 cents. RECENT BOOKS

Contains 281 pages. The illustrations are very good,

and the work really has more of value in it than the A Manual of the Practise of Medicin. By A. A.

ordinary quiz compend. Considerable space is devot. Stevens, A.M., M.D., Professor of Pathology in the Woman's Medical College of Pennsylvania, Lecturer on Physical Diagnosis

ed to treatment.---A. L. R. in the University of Pennsylvania, Physician to the Episcopal Hospital and to St. Agnes' Hospital. Sixth edition, thoroly revised, enlarged and reset. Handsome post-octavo of 556 pages, illus

Surgical Diseases of the Abdomen. With special trated. Philadelphia, New York, London: W. B. Saunders & Co.

reference to diagnosis. By Richard Douglas, M.D., formerly Flexible leather, $2.25 net.

Professor of Gynecology and Abdominal Surgery, Medical Depart

ment, Vanderbilt University, Nashville; Ex-president of the The popularity of this manual can be attested for by

Southern Surgical and Gynecological Association. Illustrated by its numerous editions. The work covers completely

20 full page plates. Publisht by P. Blakiston's Son & Co., Philathe ground gone over by the student, especial stress

delphia, Pa. being laid on diagnosis, differential diagnosis, and Contains 883 pages. The work is the climax of eightreatment. Each disease is treated in a concise, clear, teen years' experience in abdominal surgery, and fills and scientific manner, and the reader can not fail to a niche heretofore empty. Only practical methods of grasp the author's meaning. This sixth edition has value are detailed. The object is more to clear up obbeen entirely reset and greatly enlarged without chang- scurity in diagnosis than to describe operativ technic; ing, however, the original style of the work.

indeed he discourages difficult surgery as attempted by unskilled and inexperienced men. After-manage

ment has full space. There are numerous text-books The Four Epochs of Woman's Life ; second edition, revised and greatly enlarged. Maidenhood, Marriage, Maternity,

which describe mechanical operativ technic, but this Menopause. By Anna M. Galbraith, M.D., Author of Hygiene

author seeks only to teach one to know when a certain and Physical Culture for Women, Fellow of the New York operation is required, and why. It is best fitted for Academy of Medicin, etc. With an introductory note by John H. those who either make such surgery a specialty, or can Musser, M.D., Professor of Clinical Medicin, University of Penn- afford many books.-A. L. R. sylvania. 12mo volume of 247 pages. Philadelphia, New York, London: W. B. Saunders & Co.' Cloth, $1.50 net.

This work, written for the instruction of the laity on “ The Story of New Zealand." By Professor Frank subjects of which every woman should have a thoro Parsons, the well known writer and authority on law, economics knowledge, is an excellent one. The language used is

and sociology ; edited and published by, C. F. Taylor, M.D., clear and comprehensiv, yet, withal, modest, and the

editor and publisher of The Medical WORLD, and of " Equity

Series," 1520 Chestnut street, Philadelphia, Pa. Handsomely meaning easily graspt even by those unfamiliar with bound in cloth, fine, heavy paper, over 170 illustrations, many of medical subjects. As a further aid a comprehensiv which are full page. 836+xxiv=860 pages; price $3 net. glossary of medical terms has been appended. In this new edition the author has made some additions, viz:

The direct historic review occupies 500 pages A section on “The Hygiene of Puberty;" one illumined by more than 100 illustrations (there are "Hemorrage at the Menopause a Significant Symptom over 170 pictures in the whole book) and grouped in 72 of Cancer; and one on "The Hygiene of thé Menopause." These sections make the work the very best

chapters. After this the principles involved in New on the subject we have seen, and physicians will be Zealand's progress are gathered into one section, and doing a real service by recommending it to their the birth days of progress tabulated. Then the prinpatients.

cipal services rendered by the People's Trust, Civic Saunders' Medical Hand-Atlases. Atlas of the External

Fraternity, or Coöperative Industrio-political ComDiseases of the Eye. Second edition, thoroly revised. By Prof. bine called “The Government,” are summarized, the Dr. O. Haab, of Zurich. Edited, with additions, by G, É. DeSchweinitz, A.M., M.D., Professor of Ophthalmology in the Uni.

conservative view of the Liberal Movement is developed versity of Pennsylvania. With 98 colored lithographic illustrations and prevalent misstatements and misapprehensions on 48 plates, and 232 pages of text. Philadelphia, New York, London: W. B. Saunders & Co. Price, $3.

are cleared up.

In chapter 75 the national debt and the national This Atlas on External Diseases of the the Eye forms an excellent companion book to Professor Haab's

assets are analyzed, after which there is a discussion 'Atlas of Ophthalmoscopy and Ophthalmoscopic Diag- of the economic worth of high character and civilization nosis.” Starting with examination of the eye, the and of the monetary value of scenery, with notes and student is easily and gradually led from one examination to another, thus becoming familiar with the best

views of the charming visions that delight the traveler methods of investigating the eye for the detection of

in New Zealand. Chapter 76 deals with the future disease. The most important diseases are clearly moves under consideration in the Colony, several of

on

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