M.D., Tutor of Materia Medica and Pharmacology at the Columbia University (College of Physicians and Surgeons), New York City. Duodecimo volume of 295 pages. Philadelphia, New York, London: W. B. Saunders & Company. 1904. (Cloth, $1.00 net.)

Blood Pressure. As Affecting Heart, Brain, Kidneys and General Circulation. By Louis F. Bishop, M.D., Physician to the Lincoln Hospital, New York. One hundred and twelve pages. New York: E. B. Treat & Company. 1904. (Price, $1.00.)

The Medical Directory of New York, New Jersey and Connecticut. Published by the New York State Medical Association. Volume VI.

1904-1905.

Davis's Obstetrics. A Treatise on Obstetrics. For Students and Practitioners. By Edward P. Davis, A.M., M.D., Professor of Obsetrics in Jefferson Medical College; Professor of Obsetrics and Pediatrics in the Philadelphia Polyclinic, etc. New (second) edition, thoroughly revised and much enlarged. Octavo. 800 pages, with 274 engravings and 39 full-page plates in colors and monochrome. New York and Philadelphia: Lea Brothers & Company. 1904. (Cloth, $5.00 net; leather, $6.00 net.)

Lectures to General Practitioners on the Diseases of the Stomach and Intestines, by Boardman Reed, M.D., Professor of Diseases of the Gastrointestinal Tract, Temple College, Philadelphia. Octavo, 1021 pages. Illustrated. New York: E. B. Treat & Company. 1904. (Price, $5.00.)

A Manual of Experimental Physiology. By Winfield S. Hall, Ph.D., M.D., Professor of Physiology, Northwestern University Medical School, Chicago. Octavo, 245 pages. Illustrated. New York and Philadelphia: Lea Brothers & Company. 1904. (Price, $2.75.)

Practical Dietetics. With reference to Diet in Disease. By Alida Frances Pattee. Instructor in Dietetics, Bellevue Training School for Nurses. Second edition. Duodecimo, 311 pages. Published by the author, 52 West 39th street, New York. (Price, $1.00.)

Beauty through Hygiene. By Emma E. Walker, M.D. Small duodecimo, 301 pages. New York: A. S. Barnes & Company. 1904. (Price, $1.00.)

Lea's Series of Medical Epitomes. Toxicology. By Edwin Welles Dwight, M.D., Instructor in Legal Medicine, Harvard University. Duodecimo, 298 pages. Series edited by V. C. Pedersen, M.D., Instructor in Surgery at the New York Polyclinic Medical School and Hospital New York, Philadelphia: Lea Brothers & Company. 1904. (Price, $1.00.)

International Clinics. A Quarterly of Illustrated Clinical Lectures and especially prepared articles on Treatment, Medicine, Surgery, Neurology, Pediatrics, Obstetrics, Gynecology, Orthopedics, Pathology, Dermatology. Ophthalmology, Otology, Rhinology, Laryngology, Hygiene and other topics of interest to students and practitioners. By leading members of the medical profession throughout the world. Edited by A. O. J. Kelly, A.M., M.D., Philadelphia. Volume III. Fourteenth series. Philadelphia: J. B. Lippincott Company. 1904. (Cloth, $2.00.)

Handbook of the Anatomy and Diseases of the Eye and Ear. For Students and Practitioners. By D. B. St. John Roosa, M.D., LL.D., Professor of Diseases of the Eye and Ear in the New York Post-graduate Medical School, and A. Edward Davis, A.M., M.D., Professor of Diseases of the Eye in the New York Post-graduate Medical School. Duodecimo, 300 pages. Philadelphia: F. A. Davis Company. 1904. (Price, $1.00 net.)

Diseases of the Nose, Throat, and Ear and their Accessory Cavities By Seth Scott Bishop, M.D., D.C.L., LL.D., Professor of Diseases of the

Nose, Throat, and Ear in the Illinois Medical College. Third edition, revised and enlarged. Illustrated with 94 colored lithographs and 230 additional illustrations. Octavo, 564 pages. Philadelphia: F. A. Davis Company. (Price: cloth, $4.00; sheep or half-russia, $5.00 net.)

Surgery of the Prostate, Pancreas, Diaphragm, Spleen, Thyroid, and Hydrocephalus. A Historical Review. By Benjamin Merrill Ricketts, M.D., Cincinnati. 1904.

Refraction and How to Refract. By James Thorington, M.D., Professor of Diseases of the Eye in the Philadelphia Polyclinic. Third edition. Duodecimo, 314 pages. Illustrated. Philadelphia : P. Blakiston's Son & Company. 1904. (Price, $1.50.)

Manual of Physiological and Clinical Chemistry. By Elias H. Bartley, B.S., M.D., Ph.G. Professor of Chemistry, Toxicology and Pediatrics in the Long Island College Hospital. Second edition, revised and enlarged. Duodecimo, 188 pages. Illustrated. Philadelphia: P. Blakiston's Son & Company. 1904. (Price, $1.00.)

A System of Practical Surgery. By Prof. E. von Bergman, M.D., Berlin. Prof. P. von Bruns, M.D., Tübingen, and Prof. J. von Mikulicz, M.D., Breslau. Volume V. Surgery of the Pelvis and Genitourinary Organs. Translated and edited by William T. Bull, M.D., Professor of Surgery, College of Physicians and Surgeons, New York, and Edward Milton Foote, M.D., Instructor in Surgery. Royal octavo, 789 pages Illustrated. New York and Philadelphia: Lea Brothers and Company. 1904. (Price: cloth, $6.00; leather, $7.00; half-morocco, $8.50 net.)

The Surgical Treatment of Bright's Disease. By George M. Edebohls, A.M., M.D., LL.D., Professor of the Diseases of Women in the New York Post-graduate Medical School and Hospital. Octavo, 327 pages. New York: Frank F. Lisiecki, Publisher. 1904.

A Textbook of Histology. By Frederick R. Bailey, A.M., M.D., Adjunct Professor of Normal Histology, College of Physicians and Surgeons. New York. Octavo, 481 pages. Illustrated. New York: William Wood & Company. 1904. (Price, $3.00.)

The Practical Medicine Series of Year Books. Ten volumes. Issued under the general editorial charge of Gustavus P. Head, M.D., Professor of Laryngology and Rhinology in the Chicago Post-Graduate Medical School. Volume VIII. Materia Medica, Therapeutics, etc. Edited by George F. Butler and Collaborators. Chicago: The Year Book Publishers 1904. (Price, $1.00; entire series, $5.50, payable in advance.)

The Practical Medicine Series of Year Books. Ten volumes. Issued under the general editorial charge of Gustavus P. Head, M.D., Professor of Laryngology and Rhinology in the Chicago Post-Graduate Medical School. Volume IX. Physiology, Pathology, etc. Edited by W. A. Evans and collaborators. Chicago: The Year Book Publishers. (Price, $1.00; entire series, $5.50, payable in advance.)

1904.

The Practical Medicine Series of Year Books. Ten volumes. Issued under the general editorial charge of Gustavus P. Head, M.D., Professor of Laryngology and Rhinology in the Chicago Post-Graduate Medical School. Volume X. Skin and Venereal Diseases: Nervous and Menta! Diseases. Edited by W. L. Baum and Hugh T. Patrick. Chicago: The Year Book Publishers. 1904. (Price, $1.00; entire series, $5.50, payable in advance.)

The Urine and Clinical Chemistry of the Gastric Contents, the Common Poisons, and Milk. By J. W. Holland, M.D., Professor of Medical Chemistry and Toxicology, Jefferson Medical College, Philadelphia. Seventh edition, revised and enlarged, with 41 illustrations. Philadelphia: P. Blakiston's Son & Co. 1904.

LITERARY NOTES,

ANNOUNCEMENT is made of the consolidation of Southern Medicine and Gaillard's Medical Journal, beginning with the October issue. Dr. William Edwards Fitch who established Southern Medicine in 1897, under the name of the Georgia Journal of Medicine and Surgery, and who has so ably conducted the magazine since that time, will be the editor of the amalgamated publication.

THE Journal of Obstetrics and Gynecology of the British Empire is the title of a handsome magazine now in the sixth year of its life. It is edited by Dr. T. W. Eden, assistant obstetric physician at the Charing Cross Hospital, London, with the aid in special departments of D. Berry Hart, Edinburgh; Frederick William Kidd, Dublin, and William Japp Sinclair, of Manchester. With these are associated as an editorial committee Henry Briggs, Liverpool; Murdoch Cameron, Glasgow; Francis Henry Champneys, Charles J. Cullingworth, Alban Doran, George Ernest Herman, and Sir John Williams, London; Edward Malins, Birmingham; Alexander R. Simpson, Edinburgh, and Alfred Smith, Dublin. With these, again, appears a long list of collaborators comprising some of the most prominent physicians in Great Britain and the colonies.

The contents of the journal for October embraces original communications, critical review, review of current literature, review of recent books, and an index obstetricus. It is one of the best special medical magazines published in the English language. and should find its way to the library table of every teacher of gynecology and obstetrics. It is published by Sheratt & Hughes. at 65 Long Acre, W. C., London, and at the University Press. Manchester. Subscription price, single copies, 2s. 6d. net; annual subscription, 25s. post free; colonies and abroad, 26s. post free.

ITEMS.

BATTLE & COMPANY, of Saint Louis, recently published Chart No. 3, of the series illustrating intestinal parasites. This plate depicts the tenia soluim-the pork-measle tapeworm and armed tapeworm.

THE DAVIS PHARMACEUTICAL COMPANY, of New York, presents an advertisement on page xi., setting forth the value of Guaisotol. to which attention is invited.

ERMIT me at this time to thank you for the honor you have

this, the thirty-seventh annual meeting of the Medical Association of Central New York.

This society had its inception in the thought and wisdom of such men as Dr. Didama, of Syracuse, Drs. Dean, C. E. Rider, Hovey, and the late Dr. E. M. Moore, of Rochester, and others from the counties of Cayuga, Ontario, Onondaga, Seneca, and Wayne.

The

The present membership of nearly 300, composed of representative physicians and surgeons of seventeen counties of Central and Western New York, and the inviting programs of scientific papers offered you from year to year, are a fitting tribute to that wisdom and foresight of our founders, whose desire it was to stimulate the study of the science and art of medicine. The growth of the association has been a healthy one. publication of its transactions, under the efficient management of Dr. William C. Krauss, now in their eleventh year, has been commended by many. The social gathering in the evening is at fitting terminal to the day's close application, and is of advantage to the association by promoting a better acquaintance among the physicians residing in this district.

The inviting program we are able to lay before you today came in response to the cards mailed you early in September, and

1. Presidential address at the 37th annual meeting of the Medical Association of Central New York, held at Rochester, N. Y., September 20, 1904.

it will soon be my privilege to give way to those whose subjects are of more interest to the average physician than is that which I will now present.

There are today in the various hospitals for the insane in this state, nearly 25,000 insane patients, and many more of this class are going about almost without restraint. The majority of these are of the harmless class. Many, however, are dangerous to themselves or others. Every one of this vast number has, at some period, been in the care of a physician engaged in general practice. It is to the latter to whom appeal is first made for guidance in dealing with this distressing malady, and it is often not an easy matter to determine offhand what should be done. A public, almost devoid of knowledge of disease, and one which is not easily influenced, even by the dramatic quality of events, has, largely in response to the selfish instinct for self-preservation, given us a number of institutions, called state hospitals, which, in fact, are largely asylums, and have made them easy and convenient receptacles for all classes of the insane.

It cannot be denied that the condition of the poor, as well as the prognosis, is improved by removal to these places, but I am frank to say, I believe it is not so with the middle or wealthy classes. I believe more can be done for them in the home than in the large hospital, and that their chances of recovery will be increased by keeping them away from a state institution. Have we, indeed, the right to subject a nondangerous and recoverable case to the humiliation of forcible detention in a public institution and the later suspicion and fear which an ignorant public always holds for a recovered mental case? I believe we have not.

The typhoid fever case is never rushed to a hospital, unless circumstances at home make it imperative, or the convenience of the medical attendant is enhanced thereby, though there are many hospitals especially designed for that class. The hospital is not essential to the obstetrical or surgical case. Why then, should it be to this other great class of pathological states, grouped under the general head of mental troubles?

A few years ago the superintendent of a New Jersey insane hospital recommended that cases of puerperal insanity be kept at home until every available recourse but the asylum had been tried without success.

Meynert lectured to his classes in Vienna to the effect, that in every instance there is a disadvantage in sending curable cases to an asylum. Mandsley affirms that "a large proportion of the curable insane can be treated to the best advantage at home, or in small asylums or homes," and another alienist summed up his vast experience in the treatment of the insane by saying "that it