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Altogether we consider Messrs. Rebman, Limited, are distinctly to be congratulated upon this very useful member of their System of Physiological Therapeutics.

Gynæcological Nursing. By NETTA STEWART. Oliver and

Boyd, Edinburgh. Simpkin, Marshall and Co., Limited,

London. 1903. THE authoress has been ten years head nurse in gynæcological wards at the Edinburgh Royal Infirmary, and for eight of them her chief has been Sir Halliday Croom, who introduces the volume by a cordial preface. Miss Stewart has succeeded in writing an exceedingly useful and practical little book, which may with advantage be placed in the hands of any nurse who has to do with patients who have to be submitted to gynæcological examinations or operations.

With most of the statements and directions given in the book we can cordially express our agreement; occasionally, however, a statement is made too absolutely, as for instance on page 3; where it is stated that in all cases menstruation must postpone interference, no matter how necessary the examination may be. This is of course absurd; it is well known that in some cases the information required is obtainable only during the monthly flow, and in any given case the medical man responsible for the treatment, and not the nurse, must decide upon the necessity of such an examination. There are very few blemishes of this sort, and the book can be strongly recommended to those for whom it has been written.

Practical Text-Book of Midwifery for Nurses. By ROBERT JARDINE. Second edition.

1903. William F. Clay, 18, Teviot Place, Edinburgh. THE author is Physician to the Glasgow Maternity Hospital, one of the largest and busiest in the kingdom, and his experience in teaching has enabled him to write a book which can be strongly recommended as an adequate exposition of

the subject of midwifery as it should be presented to midwives. The book is written in simple language, and there is, as a rule, no hesitation on the part of the author in deciding what knowledge should or should not be expected of his pupils. Occasionally an instruction might with advantage be made more definite; for example, on page 77 the reader is told that instruments can be rendered perfectly aseptic by boiling them for "a few" minutes; we think it should be made clear whether three or thirty minutes are required.

The abnormalities and diseases of the newborn, and infant feeding, are accorded satisfactory treatment, and we have no hesitation in recommending the volume as one of the most useful hand-books for nurses.

A Complete Hand-Book of Midwifery–for Midwives and

Nurses. By J. K. WATSON. The Scientific Press, Limited,

28 and 29, Southampton Street, Strand, London, W.C. 1904. This Hand-book of Midwifery for Midwives and Nurses bears evidence of its author having had no great experience i'. teaching. Many of the subjects introduced are treated in much too full a manner; thus for instance on extra-uterine pregnancy there is a chapter ten pages in length, illustrated by various diagrams, and containing a great deal of unnecessary detail; in another place the operation of curetting is described in full. If the book had been intended for junior students of medicine little fault could have been found with the fulness which renders it unsuitable for midwives and nurses, for whom it has been written.

Text-Book of Diseases of the Eye. By HOWARD F. HANSELL,

A.M., M.D., and WILLIAM M. SWEET, M.D.; with Chapters by CHRISTIAN R. HOLMES, M.D., CASEY A. WOOD, M.D.,

D.C.L., WENDELL REBER, M.D. Rebman, Limited, London. THE authors make no apology for adding to the not inconsiderable list of books on Diseases of the Eye. Presumably

they consider that in the matter of books, as in other things, there is room at the top.” We think that this volume will find a fairly high place in ophthalmic literature through sheer merit. The object of the writers has been to present to the students of ophthalmology“ the subject-matter tersely, practically and comprehensively.” This they have succeeded in doing in the compass of 500 pages of good, large print, and with a profusion of clear and large illustrations, which are quite the best we have seen in a book of this size. In consequence of the large print and the number of illustrations the reading matter is comparatively small in amount, but ample for the needs of the student and practitioner, for whom we think it is an ideal text-book, being comprehensive without being too exhaustive; lucid without being prosy; and its physics are made clear without the aid of higher mathematics. In the past, students have been in the habit of complaining that eye books are either too big or too small for examination purposes. We think that “Hansell and Sweet” is neither too big nor too small, but just big enough, so it should at once allay that grievance of the student. The value of the book is enhanced by special contributions on “Diseases of the Lachrymal Apparatus, Orbit and Cavities accessory to the Orbit," by Christian R. Holmes, of Cincinnati; “On Ocular Symptoms in General Disease," by Casey A. Wood, of Chicago; and on “The Pupil in Health and Disease,” by Wendell Reber, M.D., of Philadelphia. These sections are written by men who have given special attention to their respective subjects, and consequently are of the nature of authoritative monographs which may be consulted with advantage by ophthalmic surgeons. In fact we have read the whole book with much advantage, and consider it the most lucid, practical, and up-to-date textbook for its size we have had the pleasure of reviewing.

The Therapeutics of Mineral Springs and Climates. By T.

BURNEY YEO, M.D., F.R.C.P.; pp. 760. London: Cassell

and Company. 1904. DR. YEO defines a medicinal water as a water which, either from its chemical composition or its thermility, or some other quality which experience has proved it to possess, is found

useful in the treatment of disease.” Acting on this definition, he gives descriptions in this book of the waters of a great number of places, many of which have probably never been heard of by the majority of English medical men.

The book opens with some general remarks as to the composition and classification of mineral waters; then comes a chapter on their mode of application and action. A description is given of the waters and climate of all the chief European Spas. This part of the book is particularly valuable, for it gives the kind of information wanted by the patient, e.g., as regards the character of the place, the scenery, &c., and also the information wanted by the medical man, namely, as regards the composition, administration, and action of the waters. There is a useful chapter on climate and climatic resorts in general, and another on English, Scotch, and Irish coast climates.

We commend this book strongly to every medical man, who is at times called upon to give advice on these subjects.

Guy's Hospital Reports. Vol. LVIII. Edited by J. N.

BRYANT, M.D., and F. J. STEWARD, M.S. London: J. and

A. Churchill. 1904. THE most important article in this volume of the Guy's Reports is one by Sir Cooper Perry and Dr. Lauriston Shaw, on the cases of Malignant Disease of the Stomach recorded in the Pathological Records of the Hospital between the years 1826 and 1900. The greater part of the article consists of notes of more than 300 cases, extracted from the registers. Another paper worthy of note is that by Dr. Hale White, on “Disease of the Heart due to over-indulgence in Alcoholic Drinks.”

BOOKS RECEIVED. From Messrs. J. and A. ChurchillClinical Diagnostic Bacteriology, including Serum Diag

nosis and Cyto-diagnosis. By ALFRED COLES, M.D. From Messrs. John Wright and Co.

Our Baby: For Mothers and Nurses. By Mrs. LANGTON

HEWER. From Messrs. Rebman-. Health and Disease in Relation to Marriage and the

Married state. Edited by H. SENATOR and H. KAMINER

Translated by J. DULBERG. From the Surgeon-General U.S. ArmyIndex Catalogue Surgeon-General's Office, U.S. Army.

Second series. Vol. IX.



BY R. M. SIMON, M.D., F.R.C.P., Physician to the General

Hospital, Birmingham. Eight years ago I had the honour to read before this Branch a paper on the treatment of typhoid fever, and I propose this afternoon to take for my text the following remarks I then made about variations in the course and causes of the symptoms.

“ It is impossible for anyone who has had a large experience of typhoid fever—whether in the course of family practice or in hospital-not to have been struck by the extraordinary difference that may appear during the same epidemic in cases of the disease, so much so that I have often wondered whether we may not sometime have to go still further in the differentiates of the disease which ended with Jenner's distinguishing it from typhus, and find that we have more than one disease to deal with. It may be possible that in typhoid, as in other diseases, we have to deal with complex conditions. We meet with the ordinary form of the disease, in which the evidence of the poison is mainly upon the intestinal tract; and with other cases in which, apparently, the intestinal tract has escaped, and the specific poison has spent itself upon the thermogenetic centre, upon the heart, or upon the lungs. As in other diseases which run a more or less definite course, we come across certain cases which terminate fatally within a period short of that at which we are wont to regard our patients with anxiety, and very short of the time when we may anticipate danger from the occurrence of the hæmorrhage or perforation which may result from the severity of the intestinal lesions. Our patients die almost before the

* A Paper read before the Birmingham and Midland Counties Branch of the

British Medical Association.

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