cian," and Dr. Marie Wolcott spoke of "The Medical Woman as a Teacher." Dr. Mary I. Denton's topic was "As President to President," and Dr. M. Elizabeth Schugens responded to the toast, "The Medical Woman as a Woman."

THE Buffalo Academy of Medicine held meeting during the month of June, 1905, as follows:

The annual meeting of the academy was held at the academy rooms, Public Library building, Tuesday evening, June 13, 1905. Program: President's address: The uses of a medical society, Dr. Arthur W. Hurd. Election of officers was held for the ensuing year.

HOSPITAL NOTE.

THE Buffalo State Hospital will in future be governed by a board of managers, as was formerly the case. In accordance with a law passed last winter, Governor Higgins has appointed the following named managers for this institution: Joseph P. Dudley, Dr. William C. Krauss, Nathan Wolf, George H. Kennedy, Mrs. Tracy C. Becker, and Miss Margaret F. Rochester, Buffalo, and John T. Darrizon, Lockport.

BOOK REVIEWS.

THE VERMIFORM APPENDIX AND ITS DISEASES. BY HOWARD A. KELLY, A.M., M.D., Professor of Gynecology in the Johns Hopkins University, Baltimore, and E. Hurdon, M.D., Assistant in Gynecology in the Johns Hopkins University. Royal octavo, pp. xx.-887. Illustrated with 399 original illustrations, some in colors, and 3 lithographic plates. Philadelphia and London: W. B. Saunders & Company. 1905. (Price: cloth, $10 net; sheep or half morocco, $11 net.) This comprehensive and elaborate treatise is prepared by a professor and assistant professor of gynecology. The former has declared from the house-tops that his specialty is "passing," but this book does not confirm his own judgment. It seems to condemn him out of his own mouth, so to speak, for it is a work on a surgical disease written by gynecologists.

In dealing with the anatomy of the vermiform appendix the authors begin with the fetus and study its development from the end of the first month of intrauterine life until birth. The conclusion reached by this investigation is that the appendix does not maintain the relative development in the adult reached in the fetus, and it is regarded, therefore, as the distal portion of the original cecum. This would seem to dispose of many theories as to the purpose, present or obsolete, of this treacherous organ.

One of the most interesting phases of this treatise is the relation of foreign bodies or concretions to the disease. Formerly it was the general belief of the profession, as well as the laity, that disease of the appendix was caused in general by "grape seeds" and other foreign elements that made their way into the lumen of this attachment; now it is admitted that only in particular cases does this accident happen. Numerous examples of this complication are given herein, and a group of illustrations are presented delineating the part occasionally played by concretions and other foreign substances in the etiology of appendicitis.

The clinical features of this work are of special value, exactness of detail being a marked characteristic of their presentation. Perhaps, too, another principal point of its importance is the profuseness of its illustrations. Not a single anatomical, pathological, or surgical item has been omitted in the art department, and the quality of all classes of illustration has never been excelled in a medical work. The book lacks a general index, otherwise it is beyond criticism.

LITERARY NOTE.

MESSRS. LEA BROTHERS AND COMPANY have pleasure in announcing a new edition of Gray's Anatomy, to be published about midsummer, and embodying nearly two years of labor on the part of the editor, Dr. J. Chalmers DaCosta, of Philadelphia, and a corps of special assistants.

The new edition will present a thorough revision, many additions and more than 400 new engravings in black and colors, prepared expressly for this work. In our advertising columns the publishers set forth some of these improvements and we expect later to publish a review of the book.

ITEM.

A STUDY of the treatment of anemia in Porto Rico has been made by a government commission, appointed in February, 1904, and its report of something more than 200 pages, printed in Spanish and English, has been submitted to the governor of that island.

This particular form of anemia was found to be due to the parasite called hookworm or ucinaria. The commission established a tent hospital and subjected the patients to expert and scientific treatment. Iron was given in various forms, but particularly pepto-mangan (Gude) seemed to find favor. Eighteen cases in which this remedy was administered are given in detail and the results were favorable. This may be regarded as a severe test and those interested will find the report of value.