A REFERENCE HAND BOOK OF THE MEDICAL SCIENCES, embracing the entire range of scientific and practical medicine and allied science, by various writers. A new edition, completely revised and re-written. Edited by ALBERT H. BUCK, M. D., New York City. Volume VII. Illustrated by chromo-lithographs and 688 half tone and wood engravings. New York: William Wood & Co., Publishers.

Volume VII of this excellent system of scientific and practical medicine has just been issued This volume, like its predecessors is a master-piece of the publisher's art. Volume VII begins with "saccharin" and ends with "ulcer." The entire work will form a system of medicine that will be complete in itself. No up-to-date medical library can do without this excellent work.

BLOOD PRESSURE IN SURGERY. An Experimental and Clinical Research. The Cartwright Prize Essay for 1903. By GEORGE W. CRILE, A.M., M.D., Professor of Clinical Surgery, Western Reserve Medical College; Visiting Surgeon to St. Alexis Hospital; Associate Surgeon to Lakeside Hospital, Cleveland. J. B. Lippincott Company, Philadelphia and London. 1903. This interesting work received the Cartwright Prize of the Alumni Association of the College of Physicians and Surgeons of New York. It is an original research volume of special interest to surgeons and should be in every medical college and in the library of every operator.

A COMPEND OF PATHOLOGY, General and Special. A Students' Manual in One Volume. By ALFRED EDWARD THAYER, M. D.. Professor of Pathology, University of Texas. Second edition, containing 131 illustrations. P. Blakiston's Son & Co., Publishers, 1012 Walnut Street, Philadelphia. This is one of the best students' manuals on pathology we have seen. It is compact and concise yet it covers the ground completely. It has 131 illustrations, is printed on good paper with clear type and has handy flexible covers.

Pacific Medical Bureau of Information.

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Extracts.

The New Epoch in the History of the Association of Military Surgeons of the United States.

The unanimous passage of the Act to incorporate the Association of Military Surgeons of the United States by both houses of Congress and its approval by President Roosevelt marks the opening of a new era in the history of military and naval medicine. From a modest beginning as the Association of Military Surgeons of the National Guard of the United States in 1891, the organization grew by the addition of the medical officers of the army and navy in 1893 to be the unofficial Association of Military Surgeons of the United States which has had so successful and useful a career and which has added so much to the position of American Military Medicine. During the twelve years of its existence the personnel of the Association has been marked by steady growth.

The work brought forth through its influence is now crystalized in the eleven volumes published by it-nine volumes of Proceedings and two of the Journal. Its influence in developing study, thought and investigation along the lines of military and naval medicine, surgery, sanitation and equipment is amply demonstrated by the increasing bulk of the annual contributions to its publications. It has thus admirably filled its declared purpose, "to promote and improve the science of military surgery.'

In course of the development of the Association, however, it became evident that there were points upon which as an official organization it could not touch. Its work was hampered and retarded by the lack of an official status under the law of the Nation. While the National and most of the State services recognized it by the detail of official representatives, and while various foreign powers extended to it the courtesy of official recognition, some still stood aloof on account of its unofficial character. This defect is now fully corrected by the following Act of Congress, approved January 30, 1903:

[PUBLIC NO. 39.]

An Act to Incorporate the Association of Military Surgeons of the United States.

Be it enacted by the Senate and House of Representatives

of the United States of America in Congress Assembled, That George M. Sternberg, of the District of Columbia; Presley Marion Rixey, of the District of Columbia; Walter Wyman, of the District of Columbia; Nicholas Senn, of Illinois; Jefferson Davis Griffith, of Missouri; John Van Rensselaer Hoff, of New York; Robert A. Blood, of Massachusetts; Leonard B. Almy, of Connecticut; Nelson H. Henry, of New York; J. Francis Calef, of Connecticut; George Henderson, of the District of Columbia; Charles F. W. Myers, of New Jersey; John V. Shoemaker, of Pennsylvania; Angelo Festorazzi, of Alabama; Edmund C. Brush, of Ohio; Frederick W. Byers, of Wisconsin; James T. Priestly, of Iowa; James Evelyn Pilcher, of Pennsylvania; Marshall O. Terry, of New York; Winslow Anderson, of California; Charles H. Alden, of Pennsylvania; William W. Grant, of Colorado; Robert Harvey Reed, of Wyoming; Thomas C. Clark, of Minnesota; Robert A. Marmion, of the District of Columbia; Myles Standish, of Massachusetts; John C. Wise, of Maryland; George T. Vaughan, of Virginia; Albert H. Briggs, of New York; William C. Borden, of New York; Otis H. Marion, of Massachusetts, and their associates and successors, are hereby created a body corporate and politic in the District of Columbia, by the name of the Association of Military Surgeons of the United States, for the purpose of advancing the knowledge of military surgery, medicine, and sanitation in the medical departments of the Army, the Navy, and the Marine Hospital Service of the United States and of the militia of the different States, and to increase the efficiency of the different services by mutual association and the consideration of matters pertaining to the medico-military service of the United States in peace and in war.

SEC. 2. That the Secretary of the Treasury, the Secretary of War, the Secretary of the Navy, the SurgeonGeneral of the Army, the Surgeon-General of the Navy, and the Surgeon-General of the Marine Hospital Service shall be ex-officio members of the Association of Military Surgeons of the United States, and, with the President of the Association, shall act as an Advisory Board to the said Association.

SEC. 3. That said Association is authorized to hold real and personal estate in the United States, so far only as

may be necessary to its lawful ends, to an amount not exceeding one hundred thousand dollars, and may adopt a constitution and make by-laws not inconsistent with law, and may adopt a seal and an insignia which may be worn by its members.

Approved January 30, 1903.

[From the Jour. Ass'n Military Surgeons of U. S.]

Therapeutic Notes.

Suppurating Appendicitis Opening into the Bladder. By DR. ENRIQUE FORTUN, Surgeon of Hospital No. 1, Havana. (From Revista Medica Cubana of July, 1903.)

Juan G., a Spanish merchant, thirty-seven years old, with evident syphilitic antecedents, began to suffer about two months ago acute pains in the right iliac pit, while a tumefaction was observed in that region.

He became an inmate of a clinic of this city, where his case was diagnosed as malignant neoplasm. After remaining about twenty days in said clinic, the patient decided to leave for Spain; in the meantime he stopped at a hotel here. While there he was taken with violent fever and ague, with a temperature of about 41 degrees C., and the first micturition following this attack showed the presence of a great quantity of pus.

Dr. Parra, who was attending the patient, did me the honor to ask me to assist him. I called on him the night after the evacuation of pus had occurred.

The first symptom to which my attention was called upon examination was the dimension and hardness of the liver, with swellings, the massiveness of which continued uninterruptedly in connection with the massiveness of the iliac pit, in which region (the right iliac pit) an accentuated muscular resistance was observed, though that region, instead of being swollen, presented a depression, at the bottom of which the rim of the hepatic gland could be felt by the hand. The temperature was 38 degrees, the pulse-beat between 80 and 90, and the general condition of the patient was rather satisfactory.

The diagnosis offered no doubt in our opinion: Suppurating appendicitis, with evacuation into the bladder (the

urine which was shown to us was extremely fetid and mingled, and it contained a large quantity of pus) and syphilitic cirrhosis of the liver.

We advised the patient to consent to be operated upon, which he did. On the following day an incision of about seven centimeters was made into the middle of the depres sion observed in the iliac pit. We rapidly reached a perfectly defined cavity, which contained a little pus mixed with mucosities. We washed out the cavity with Hydrozone and plugged it with iodoform gauze. On the following day, when we dressed the wound, upon careful examination of the cavity, we did not find any connection with the bladder, but we could extract the appendix, which was affected by feces.

A complete cure was accomplished in a month, and during that time the liver decreased considerably in volume. Since the third day of the operation antisyphilitic treat ment was followed.

The communication between the cavity of the abscess and the bladder healed after twelve days of treatment.

Tyree's Antiseptic Powder.

"Invalidism in Girls and Young Women" was recently, discussed, in a most interesting and instructive way, by Dr. W. E. Anthony, of Providence, Rhode Island, ex-President of the Providence Medical Society. Dr. Anthony laid especial stress on guarding girls from over-study during the first climacteric, recommending that they should not be kept in school more than three or four hours up to the age of seventeen, and suggested that not only were their nervous systems bankrupted by two great burdening during school life, but that their respective organs were not permitted to properly develop and serious diseases and permanent injury of the uterus and ovaries frequently resulted. Dr. Anthony emphasized the fact that these run down states were often accompanied by vaginal catarrhs most distressing. He recommended for such cases general internal tonics, blood and nerve builders, and the local use douches daily, of a teaspoonful of Tyree's Antiseptic Powder to a pint of warm water, and this treatment has been endorsed by leading practitioners for many years.