at the Y. M. C. A. building on the afternoon of Sunday, February 18th, at which the following addresses were given:

Introductory remarks by the president, Dr. Geo. Homan.

Invocation-By His Grace, the Most Reverend J. J. Glennon, Archbishop of St. Louis.

By His Grace-Remarks on the Life and Character of Dr. Gregory.

Address by Dr. David C. Gore, President of the Missouri State Medical AssociationDr. Gregory as a Physician and Surgeon.

Address by Hon. A. M. Dockery, former Governor of Missouri-Dr. Gregory in his Civic Capacity.

Address by Hon. O'Neil Ryan, of the St. Louis Circuit Bench-Dr. Gregory as a St. Louisian.

Address by Dr. Frank J. Lutz, Professor of Surgery Medical Department St. Louis Medical University-Dr. Gregory as Teacher.

a

Brief Remarks-By guests and friends of the family.

Report of the Committee on Memorial and Resolutions.

MEDICAL SOCIETY OF THE MISSOURI VALLEY.

This progressive body, now in its nineteenth year, has forged its way to the front, and has become one of the best, if not the largest, independent organization in the United States. Composed of able, active men, and drawing from seven of the largest states in the middle West, this association has become a factor in the medical affairs west of the great Missisippi river. The sessions of this society are devoted entirely to scientific work, and the papers read before it are both entertaining and instructive. Its sessions are held in the spring and fall. The good work accomplished by this body of earnest men is a matter of history, and a most commendable feature of these meetings is that no time is devoted to ethical, political, or personal debate, and "society politics" is an unknown quantity in its ranks.

For the above reasons, as well as many others we would recommend this society to our readers. If you want a real intellectual feast and a season of social intercourse with a congenial body of scientific men, attend the next meeting at St. Joseph, March 22 and 23.

A pleasant feature of this meeting will be the attendance of all the presidents of the State associations within the province of the Missouri Valley. Following is the prelimin.

ary program:

N. S. Davis, Jr., Chicago, Oration on Medicine.

L. L. McArthur, Chicago, Oration on Surgery Surgery of Intestinal Tuberculosis." C. H. Mayo (President of Minnesota State Medical Association), Rochester, Minn., "Surgical Treatment of Goitre."

Wm. Jepson (President Iowa State Medical Association), Sioux City, Ia., "Prostatism and Its Management.

D. C. Gore, (President Missouri State Medical Association), Marshall, Mo., "State Medicine.

Fenton B. Turck, Chicago, subject not announced.

A. F. Jonas (President Nebraska State Medical Association), Omaha, Neb., subject not announced.

S. Grover Burnett, Kansas City, "Some Pathology of the Morphine Habit, and My Preferred Method of Treatment."

Prince E. Sawyer, Sioux City, Ia., "Curettage of the Uterus; Its Dangers.'

Bernard A. McDermott, Omaha, "Some Principles in the Treatment of Rupture of the Male Urethra."

C. O. Thienhaus, Milwaukee, Wis., subject not announced.

Wm. F. Waugh, Chicago, subject not announced.

Palmer Findley, Chicago, subject not announced.

Chas. E. Bowers (President Kansas State Medical Association), Topeka, Kas., subject not announced.

A. E. King, Blockton, Ia., "Rachitis." Wm. Frick, Kansas City, "Blarto-Mycetic Dermatitis, with reports of cases.

F. E. Coulter, Omaha, "Tumors of the Cerebellum, with report of a case.

D. W. Basham, Witchita, Kas, "Simultaneous Existence of Extra- and Intra-Uterine Pregnancy.

J. C. Waterman, Council Bluffs, "Functional Disorders of the Stomach, accompanied by Hypersecretion."

M. M. Edmonson, Kansas City, "Club Foot, with special reference to Post-operative Treatment.

Marc Ray Hughes, St. Louis, "Some Notes on Pathology of Epilepsy.'

W. F. Milroy, Omaha, "Indirect Effects of Valvular Lesions.

Frank Parsons Norbury, Jacksonville, Ill., "Individual Treatment of Borderline Cases of Mental Diseases."

T. C. Witherspoon, St. Louis, "Removal of the Uterus in Certain Inflammatory Conditions."

R. D. Mason, Omaha, "Some Advances in the Office Treatment of Rectal Diseases."

A. H. Cordier, Kansas City, subject not announced.

L. J. Dandurant, St. Joseph, "Ligation of Common Femural Artery for Large Aneurism in Scarpa's Triangle; recovery; presentation of patient."

The officers of the association are as follows:

President J. E. Summers, Jr., Omaha. First Vice-President-C. H. DeWitt, Glenwood, Ia.

Second Vice-President-C B. Hardin, Kansas City.

Treasurer-Donald Macrae, Council Bluffs. Secretary-Chas Wood Fassett, St. Joseph. Arrangement Committee-Jacob Geiger, O. B. Campbell, C. R. Woodson, St. Joseph. Headquarters, Hotel Metropole.

THE ST. LOUIS MEDICAL SOCIETY at its February election added the following to its membership: Drs. Floyd W. Bennett, 2828a St. Vincent ave.; O. H. Brown, corner Grand and Caroline streets; Jos. W. Charles, Humboldt building; George S. Drake, Jr., Humboldt building; Wm. Engelbach, MermodJaccard building; J. L. Evans, 1600 California avenue; Walter Fischel, City hospital; M. Geo. Gorin, 4225 West Belle place; Fred. B. Hall, 2917 Washington ave.; E. E. Holt, 1532 Franklin avenue; F. C. E. Kuhlmann, 2135 St. Louis avenue; Harry M. Loewenstein, 2615 N. Taylor ave. ; A. P. Munsch, 1504 Wagoner place; S. E. Newman, 465 N. Taylor ave. ; E. T. Senseney, 2829 Washington ave.; E. H. Skinner, 2313 Washington ave.; Waldemar Ude, 3531 S. Grand ave.; Wm. J. Wills, 1600 California ave.; N. W. Amos, 3001 Olive street; W. J. Miller, 3014 Park ave.; L. N. Temm, 3514, N. Market street.

THE REVIEWER'S TABLE

Books, Reprints, and Instruments for this department, should be sent to the Editors, St. Louis.

SIMON'S MANUAL OF CHEMISTRY. A Guide to Lectures and Laboratory work for Beginners in Chemistry. A Text-Book especially adapted for Students of Medicine, Pharmacy and Dentistry. By William Simon, Ph.D, M.D., Professor of Chemistry in the College of Physicians and Surgeons of Baltimore, and in the Baltimore College of Dental Surgery, etc. New (8th) Edition, thoroughly revised to conform with the eighth decennial revision of the U.S. Pharmacopeia. In one octavo volume of 643 pages, with 66 engravings, 8 colored plates representing 64 important chemical reactions, and one colored spectra plate. Philadelphia and New York: Lea Brothers & Co., Publishers. (Cloth, $3.00 net.)

The eighth edition of this well known and extensively used manual contains the changes and additions of the last Pharmacopeia, and has been revised and rewritten to a large extent. The chapter devoted to chemical phys

ics includes electrolysis and the ionic theory, subjects which play an important role in modern medicine. Analytic, organic and physiologic chemistry deal with the most important substances under these headings, and furnish the student with an excellent guide to study them thoroughly. Every page has been scrutinized and whole chapters rewritten and re-arranged to conform with the most modern views. The ingenious series of colored plates have always proved great favorites. They show the actual colors and color-changes of 64 of the most important tests used in inorganic and organic chemistry, poisoning, urinary examinations, etc., etc. It is a work which the student will carry with him into practice and which pharmacists, dentists and physicians will find most convenient for reference.

CUSHNY'S PHARMACOLOGY. A Text-Book of Pharmacology and Therapeutics: The Action of Drugs in Health and Disease. By Arthur R. Cushny, M. A., M.D., Aberd.. Professor of Pharmacology in the University College, London; formerly Professor of Materia Medica and Therapeutics in the University of Michigan. In one handsome octavo volume of 752 pages, with 52 illustrations. Philadelphia and New York: Lea Brothers & Co., Publishers, 1906. (Cloth, $3.75 net.)

The author treats his subject chiefly from an experimental standpoint derived from laboratory investigations, many conducted under his observations, but also quoting extensively from other investigators. An extensive bibliography is appended to almost every chapter, affording the reader the opportunity to read the original, or at least determine the source of information. action of the various drugs in health and disease is given in a very thorough and clear way, and enables the physician to better understand their therapeutic uses. The book contains the changes and additions of the latest pharmacopeia and is thoroughly up-to-date.

The

QUIZ-COMPENDS. Medical Latin. By St. Clair Second Edition, Revised. Philadelphia: P. Blakiston's Sons & Co. (Price, $1.00 net.)

This book is intended for the medical student, and contains the fundamental principles of the medical latin language. It will help him trace the origin and meaning of latin words, thereby making the subjects more easily understood.

FOOD AND DIET IN HEALTH AND DISEASE. By Robert T. Williams, A.M., M.D. Philadelphia and New York: Lea Brothers & Co., 1906.

This book treats of a most important subject, and the author presents the different food substances and the methods of preparation in such a clear and concise way that the physician will find it a valuable guide in the diet of health and disease. The writer quotes liberally from reliable works on dietetics and the experimental stations of the U. S. Department of Agriculture.

REPORTS ON PROGRESS Comprising the Regular Contributions of the Fortnightly Department Staff.

INTERNAL MEDICINE.

O. E. LADEMANN, M. D.

The Etiology and Treatment of Constipation. Brov (N. Y. Med. Jour., Dec. 16, 1905) describes the great variety of causative factors of this condition under the following

classification: 1. Mechanical obstruction. 2. Defective peristaltic action. 3. Deficient intestinal secretion. 4. Deficiency of liquids. 5. Deficient nervous excitability. 6. Muscular spasms in the lower part of the rectum. 7. General disturbances. The treatment in each case is naturally dependent on the cause. According to his experience prolonged use of purgatives and rectal injections soon lose their power. In most cases dietetic and hygienic measures suffice to regularly perform the function of defecation.

The Elimination of Chlorides in Nephritis. -Miller (Jour. A. M. A., Dec. 23, 1905) first refers to the observations of Widal and Lavel regarding the inability of many nephritics to eliminate sodium chloride in a normal manner, and who hold that the deposition of this salt in the tissues is responsible for the edema in nephritis, contending that the retained sodium chloride requires a certain amount of water to maintain it in the proper molecular concentration, thus leading to a dropsical condition. Miller's own observations in this direction include a study of fourteen cases; two cases of acute nephritis with moderate and marked edema; seven cases of chronic parenchymatous nephritis, six had more or less edema, and the one without edema probably had a secondarily contracted kidney; four apparently normal patients; and one case of myocarditis with general edema. While no attempt was made to determine the exact intake of the salt, the patients were kept on a fairly uniform diet during the period of investigation.

In some

cases this was milk only; in others the light ward diet. The sodium chloride was first administered in wafers, but later in solution. The chlorides were estimated daily by the Volhard method for nine consecutive days, and when possible, the patients were weighed daily. The first three days the patient had merely the chlorides contained in his food; the following three days he received daily an additional 10 grams; then the three following days merely the chlorides in his food. The conclusions of Miller's investigations are as follows: In patients with moderately severe nephritis associated with edema, the ingestion

of large amounts of sodium chloride is folJowed by a chloride retention. The patient gains in weight, the edema becomes more marked, the albuminura increases and symp. toms may develop resembling uremia. patents with severe nephritis, and especially those with uremia, chloride retention is very marked, as scarcely any of the extra chlor

In

ides administered are eliminated. In individuals with apparently healthy kidneys, following the ingestion of sodium chloride there is a retention equal to that of mild nephritis. The individual gains in weight, but there is no visible edema, no albuminuria and no uremic symptoms appear.

Variation in the Ratio of Diameters of the Normal Chest at Different Ages - The Form of the Phthiscal Chest.-Bessesen (Jour. A. M. A., Dec. 30, 1905) says the study of the human chest is always one of much interest to the medical practitioner for the valuable deductions that may be obtained. The skill with which the diagnostician of the present day utilizes the chest conditions in their various aspects has reached a high degree of perfection. He discusses the methods employed, indices, median values and an analysis of data, summarizing his monograph as follows: 1. The method of using fixed bony landmarks for the placing of chest diameter is accurate and readily applied. 2. The time and the results derived from this method of evolution are more accurate than the arithmetical average. 3. Important features in the shape of the chest as well as in the movement and the capacity, may be appreciated by an observation of its principal diameters. 4. The human chest, in the course of its development, has passed through various stages from the deep or dorsoventral to the broad or transverse type. 5. In the fetus and young babe, the lower plane gives a greater depth and breadth than the midplane. 6. The fetus under 30 centimeters in length presents a dorsoventral type of chest. 7. The new-born child represents the transitional type of chest -it is round chested. 8. During the first five years of life the most conspicuous change is the rapid widening of the chest in its transverse diameter-it becomes broad chested. 9. At puberty the length of the chest takes on an active increase in growth over the other diameters-the adolescent becomes long chested. 10. From the eighteenth to the twenty-fifth year the development of the chest is fairly uniform in all its dimensions, and represents the highest development broad long chest. 11. The dorsoventral diameter increases at an even rate from birth to maturity. 12. The phthisical chest of adult years, in general, shows an arrest in

the

a factor in the rapid dissemination of tubercle bacilli through the body, but is subsidiary in importance to tuberculosis of the thoracic duct and its tributaries. From & study of these cases Longcope concludes that tuberculosis of the thoracic duct is of great frequency in cases of acute generalized tuberculosis. The lesions in the duct from which tubercle bacilli are, swept in great numbers through the lymph to the general circulation form the starting point for the generalized acute process. In certain cases of acute generalized tuberculosis, tubercle bacilli may be found in the lymph from the duct, though the duct itself is not the seat of tuberculosis. In a small percentage of cases of subacute generalized tuberculosis the duct may also be affected.

Albuminuria in Nephritis and Bright's Disease. Stengel (Jour.A.M.A., Jan. 6, 1906) emphasizes with all earnestness that diagnosis in renal disease can not proceed from the urinary examination alone any more than can the diagnosis of cardiac disease from physical exploration alone, or that typhoid fever solely from the examination of the serum for the reaction of agglutination. Taken in conjunction with the general symptomatology, accurate examinations of the urine are indispensable, but without the general conditions as a check urinary examination may be as misleading as would be the symptoms without urinary findings. Among 581 cases there were 51 cases of undoubted Bright's disease, exclusive of chronic interstitial nephritis. In all of these there was constant and more or less uniform albuminuria. In 7 cases of arteriosclerosis there was more or less inconstant albuminuria, without casts in 16, and with casts in 58. In 187 cases there was occasional or less often constant albuminuria in association with acute infectious diseases, gout, diabetes, tuberculosis, syphilis, cystitis, pyelitis, cardiac diseases, movable kidney, gallstones and jaundice, stone in the kidney, in occasional cases of other diseases, in pregnancy, and in adolescents without discoverable disease. In 41 cases, in gouty or so-called lithemia subjects, there was occasional albuminuria at times when the urine was excessively acid. In 215 cases there was no albumin at any time. In 11 cases casts were found without albumin. Stengel concludes his paper by directing attention to the fact that albuminuria is an extremely common occurrence in various general diseases and that, though it may in a sense indicate an inflammastory condition of the kidney, such inflammation or nephritis may be of merely pathologic rather than clinical significance, unless the albumen is considerable

The

in amount and more or less constant in occurrence. The nature of the accompanying tube casts must not be relied on too greatly to determine the seriousness of the renal lesion, and in particular the presence of an occasional hyaline cast, or even the frequent occurrence of such must not be regarded with with too much apprehension. modern method of centrifugation and the consequent examination of fresh urine increases the likelihood of our finding casts, and there is often difficulty in distinguishing between insignificant cylindroid of the mild est grades of renal irritation and the definite hyaline cast of more decided disease. Even the latter, however, is so frequent in cases of arteriosclerosis, cardiac disease, hepatic disease, jaundice and gouty affections without serious renal disease that its significance is more or less trivial, unless general clinical conditions accentuate the importance of its presence. The author does not wish to convey the wrong impression that he estimates lightly the importance of urinary examination, but it is his conviction that a trace of albumin is too often magnified in importance in the physician's mind, and that the clinical conditions as a whole are not sufficiently considered. Above all things, it is important in cases of suspected renal disease that the urine be repeatedly examined and its constant or fluctuating condition be taken into account.

DERMATOLOGY.

ROBERT H. DAVIS, M. D.

A General Consideration of the Contagious Diseases of the Scalp and Skin Observed in Children of the Public Schools. Lobel (Medical News, December 16, 1905) considers exhaustively this important, and too much neglected subject, in the article referred to. In pediculosis capitio, he has found crude petroleum and olive oil as to answer well for the destruction of the pediculi, much better than the usual mixture of kerosene and olive oil. In twenty-four hours, under this treatment, most of the pediculi are dead, and a majortiy of the ova are incapable of development. He recommends also, spirits of camphor, or the tincture of delphinium in hot vinegar (1:3) or bichloride of mercury in hot vinegar (1:2000 to 1:500, depending upon the sensitiveness of the scalp), or bichloride of mercury gr. i, tr. staphisagria 3iv. In those instances in which we find 'papules, pustules, excoriation and crusts, with the formation of a moist exudation and the agglutination of the hair," he finds the following efficacious: R Balsam of Peru 20,