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present accommodations. The new building contains also a library, an assembly hall for lectures and sermons, and a gymnasium. The building stands on high ground and from an inviting roof garden a fine view of the city is obtained. When this is fitted up with awnings, hammocks, and reclining chairs, it will serve as a restful nook for tired nurses. The building will be heated with steam throughout, and will be a modern comfortable home in every respect. The cost of this improvement is estimated at $31,000.

A NEW quarantine hospital is building on the site of the old one on Ferry street. Dr. A. T. O'Hara, superintendent of the hospital, turned the first sod for the new building July 8, 1904.

THE New York School of Clinical Medicine announces the following changes in its faculty: mental diseases-Professor E. C. Dent, superintendent Manhattan State Hospital West, Ward's Island; intestinal medicine-Professor Wm. Brewster Clark, M.D.; gastrointestinal diseases-Professor Robert Coleman Kemp, M.D., Associate Professor Graham Rogers, M.D.; hydrotherapeutics— Professor Alfred W. Gardner, M.D.; ophthalmology and otology— Professor George Ash Taylor, M.D.; pediatrics-Associate Professor H. F. Senftner, M.D., Clinical Instructor and Assistant William E. West, M.D.; genitourinary diseases-Chief of Clinic and Associate Professor C. Stern, M.D.; dermatology-Chief of Clinic and Instructor L. D. Weiss, M.D. Dr. J. L. Adams was elected secretary of the faculty.

INTERNATIONAL CLINICS.

BOOK REVIEWS.

A Quarterly of Illustrated Clinical Lectures and especially prepared original 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 I. Fourteenth series. 1904. Philadelphia: J. B. Lippincott Company. (Cloth, $2.00.)

The first volume of the fourteenth series of the clinics presents an admirable appearance, even outstripping most of its predecessors, which is saying a good deal. It is, however, no exaggeration to affirm that in material, illustration, and genera!

good looks this is a surprising volume,-one that reflects the energy of its publishers and the ability of its contributors.

Under the head of treatment are five contributions, as follows: the chlorid reduction treatment of parenchymatous nephritis, by F. Widal and A. Javal; adonidin, a clinical study, by Reynold W. Wilcox; therapeutic applications of colloid silver, by Netter and Solomon; what is the cure for neurasthenia, by Robert T. Edes; treatment of gastric and allied conditions, by George W. McCaskey. In the section on medicine are four articles by N. S. Davis, Henry W. Cattell, Henry B. Favill, and James J. Walsh respectively; while in the department of surgery are articles by Cari Beck, Clark and Luther, J. McFadden Gaston, Charles P. Noble, and Frederick Griffith. The articles on gynecology are contributed by Francis H. Davenport and Daniel H. Craig; and on neurology, William Broaddus Pritchard contributes the sole lecture, which is on peripheral neuritis. The progress of medicine during 1903 is reported under the heads of medicine, surgery, and treatment by David L. Edsall, Joseph C. Bloodgood, and A. A. Stevens.

It would be difficult to group better literature by abler men into such a narrow space limit and when the price-$2.00-is taken into consideration the book seems a marvel of perfection and illustration.

AMERICAN EDITION OF NOTH NAGEL'S PRACTICE.

Tuberculosis and Acute General Miliary Tuberculosis. By Dr. G. CORNET, of Berlin. Edited, with additions, by Walter B. James, M.D., Professor of the Practice of Medicine in the College of Physicians and Surgeons (Columbia University), New York., Octavo, 806 pages. Philadelphia, New York, London: W. B. Saunders & Company. 1904. (Cloth, $5.00 net; half morocco, $6.00 net.)

Not second to professional interest in tuberculosis is that of the people in general,-an awakening that has taken place within. the last few years, or since the infectious nature of the disease has been determined. In devoting this volume to the consideration of tuberculosis the author and editors have shown wisdom.

This important disease receives the most elaborate handling in every aspect. Etiology takes up the entire first part, consisting of 345 pages, wherein every known factor contributing to the origin of the disease or playing any part in its causation is considered. Infection and methods of transmission are especially important just now; hence, as might be expected, these topics are exhaustively set forth.

The second part of the treatise deals with pulmonary tuberculosis. Early diagnosis is all important as every physician of intelligence knows, because it is in the early stages of the malady that curative treatment can be resorted to with confidence. Every useful method of diagnosis is described in detail, particular atten

tion being given to examination of sputum, tuberculin, and serum diagnosis. The author and editor are committed to the use and value of tuberculin in the diagnosis of obscure cases, and of its harmlessness when properly used they are assured. The editor regards Koch's old tuberculin as the best.

Acute general miliary tuberculosis forms the concluding chapters of this most interesting book. The bibliography of tuberculosis is very extensive and is given here in 110 pages, even with abbreviated references, making the most valuable index of the literature of this disease that has yet been published. The entire volume constitutes a distinct addition to medical letters of the most advanced type, and will be appreciated by the scholars of the profession.

LEA'S SERIES OF MEDICAL EPITOMES. PEDIATRICS. A Manual for Students and Practitioners. By HENRY ENOS TULEY, A.B., M.D., Professor of Obstetrics in the Medical Department of Kentucky University, Louisville. Duodecimo, pp. 266, with 33 engravings. 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 & Co. 1903. (Price, $1.00.)

The importance of the study of diseases of children is recognised in most medical colleges, separate chairs having been assigned to this topic. In order to keep pace with the demands of undergraduate students, who ask for condensed literature on pediatrics, Professor Tuley has prepared this excellent epitomé. It contains the essentials of the subject as taught by the foremost instructors, authors, and specialists, and is a modern exposition of the best pediatric thought of teachers throughout the world. Infant feeding has been presented in accordance with its importance, leaving nothing to be added that could contribute to the value of such a book.

A MANUAL OF FEVER NURSING. BY REYNOLD WEBB WILCOX, M.D., Professor of Medicine in the New York Post-Graduate Medical School and Hospital. Duodecimo, pp. 236. Philadelphia: P. Blakiston's Son & Co. 1904.

Special literature is increasing rapidly in every branch of medicine, and that pertaining to nursing has kept pace with the other topics in this regard. It has remained for Professor Wilcox, however, to present the subject of fever nursing and, it must be confessed, he has done the work most completely, not omitting any essential feature of this important special line of nursing. Perhaps there is no class of disease that demands of the nurse more skill, patience, and good judgment than fevers, especially typhoid, and every nurse who takes charge of such patients will appreciate this excellent manual. Physicians, likewise, would do well to read it, and to recommend it to their nurses.

A TEXTBOOK OF PHYSIOLOGY. BY ISAAC OTT, A.M., M.D., Professor of Physiology in the Medico-Chirurgical College of Philadelphia. With 137 illustrations. Octavo, 563 pages. Philadelphia: F. A. Davis Company. 1904. (Price, $3.00 net.)

Physiology being one of the fundamentals of medicine, every opportunity to acquire it should be afforded the student. The laboratory is absolutely necessary, if one would become proficient, for the prosecution of this study and it should be presided over by a competent teacher. Next in importance are useful textbooks, of which there are several at hand. This new candidate for favor is prepared by a competent teacher who yields to the solicitation of his pupils in presenting it to the profession. It is well arranged and contains the material needed in the laboratory; indeed, it may be called a guide to the laboratory study of physiology, though much of the laboratory technic has been omitted.

The author does not claim for it the dignity of a treatise, it being too elementary in character to justify that classification, but he considers it a work which contains the chief facts of physiology, indeed, all that are necessary for the student who would apply them in the practice of medicine. The illustrations are taken from various works that have been published heretofore, credit for which has been scrupulously given. The author does not lay claim to original work, but he has grouped the essential facts of physiology in accessible form.

MANUAL OF CLINICAL MICROSCOPY AND CHEMISTRY FOR STUDENTS AND PRACTITIONERS OF MEDICINE. By Dr. HERMANN LENHARTZ, Professor of Medicine and Director of Hospital at Hamburg, etc. Authorised translation from the fourth and last German edition, with notes and additions, by Henry T. Brooks, M.D., Professor of Histology_and Pathology at the New York Post-Graduate Medical School and Hospital. With 148 illustrations and 9 colored plates. Pages xxxii-412. Octavo. Philadelphia: F. A. Davis Company. 1904. (Price, $3.00 net.)

The eminent author of this manual has prepared it with the sole object in view of supplying to students and physicians instruction in clinical microscopic and chemic methods of examination. and, withal, to aid them in interpreting correctly the diagnostic significance of their findings. The microscopic portion of the book is limited, and very properly so, to the examination of fresh and dried impressions and teased preparations, thus not trenching upon the domain of pathology to which the examination of sections, and the like, belongs. The elements of microscopy, however, are carefully detailed, enabling the student to begin his work with the guidance of this book.

The chemical side of the manual is well conceived and equally well carried out. Vegetable and animal parasites are dealt with at length in the first section, bacteriology being set forth in ample form for the beginner, though the needs of the practitioner as wel! are conserved. The examination of the blood, sputum, gastric

and intestinal contents, the urine and the aspirated fluids, each constitute separate sections which are handled with satisfaction and thoroughness.

It is proper to say something about the work of the translator. The difficult task of rendering such a work into smooth English has been done in a most admirable manner by Professor Brooks who, in addition, has inserted notes and illustrations which serve to bring the manual into nearer touch with the general practitioner and undergraduate student. These additions are inclosed in brackets, which make them distinctive and easily recognised. The translator dedicates his part of the work to Professor Daniel Bennett St. John Roosa, president of the New York PostGraduate Medical School, a most befitting tribute to the attainments and labors of his chief.

It is proper to add that this is one of the really useful books for student and junior practitioner to study and consult; it is a distinct addition to the meritorious literature of the year and should receive the consideration at the hands of the profession that it richly deserves.

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 IV. Gynecology. Edited by E. C. Dudley and William Healy, Chicago. Duodecimo, pp. 216. Chicago: The Year Book Publishers. 1904. (Price, $1.50; entire series, $5.50, payable in advance.)

The first part of this volume contains useful hints relating to technic that will prove of interest to all junior gynecologists. The position of the patient during gynecological examination and treatment, the use of the vaginal douche, the curet, anesthesia, ovarian grafting and other important matters are grouped under "general principles" in this section.

In other parts may be found articles relating to infectious and allied disorders; tumors and malformations; traumatisms; displacements, and disorders of menstruation and sterility. One of the editors, E. C. Dudley, has presented in detail the subject of secondary perineorrhaphy, with several illustrations, the object being to simplify and unify it, eliminate errors and accentuate important features of operative technic. No one is better qualified for this task than Dudley who is an expert in plastic gynecology, as well as in abdominal surgery.

In the section on displacements, Carstens's article, presented last year at Chicago before the American Association of Obstetricians and Gynecologists, wherein he advocated, in selected cases, the use of the stem pessary in the treatment of retroversion, is quoted at some length. Under the head of tumors, R. B. Hall's article on cystic kidneys resembling ovarian cysts, read at the same meeting, is abstracted. Among the other articles read at the meeting above referred to and which are dealt with under

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