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ple to health without material aid is impossi. on the skin that are left by the sweat and ble. To keep them well without material aid tend to retard the evaporation and to emafter they bave been restored to health is barrass the excretion of heat. 3. Give plenty equally impossible. Most.cf them go under of cool boiled water to drink, thus replacing unless assisted. In other words, this prob. that lost by perspiration. 4. Pasteurize all lem is a sociological one and must be dealt food of well infants to retard decomposition. with as such. The cost of living in America 5. In close or muggy weather, or, if the and the average daily income of the class ap. humidity is bigb, dilute the food to one-half plying to such institutions for treatment do with boiled water. In very mild weather, with not balance. It is impossible for one making high temperature, stop milk and feed with the daily average income of these people to gruels till the humid spell is over. 6. On get well. One earning but $1.34 per day if warm, humid nights stop milk feeding, as healthy cannot remain healthy on such an the humidity is greater at night, though the income, and one suffering from a obrcnic ail. temperature may be lower. Feed gruels or ment, such as tuberculosis cannot get well. whey, which produce little heat. 7. For diarFood and housing are important factors in thea, give castor oil or calomel to eliminate the prevention and treatment of tuberculosis. decomposing food. Stop milk feeding temBoth are bigb-priced.

porarily. If the air is hot but dry,milk may What good is acoomplished by all this be resumed with high humidity, feed gruels work. The good oomes, says Flick, from the or whey to starve out putrefactive bacteria prevention which is brought about.

and get back to milk very cautiously. 8. Treatment of these people and prolonga. Keep up a good air circulation, as stagnant tion of their lives give opportunity to teach air soon hecomes saturated, thus preventing those who have the disease, and those about perspiration and heat absorption. them metbods of prevention. All who bave not yet had an implantation can be protected against implantation; many of those who have already had implantation can be pre. A GOOD story comes from the City Dispen. vented from getting the full development of sary, which demonstrates the wisdom bebind the disease; of those who have the disease in

osteopathy. A lady a full developed state, most will have to die.

'phoned the dispensary The fruit of the labor is in saving those who

Osteopathy and

that she wished a phy. are still in health.

Smallpox.

sician to call and examThe remainder of the report is a splendid

ine two "doctors' who monument to the workers who have compiled were suffering from a suspicious eruption. it. The institution is doing most creditable The dispensary, physician responded, and work, and the reading of this report should found two osteopaths with an eruption so inspire all medical men to join with them in obvious that it was quite beyond 'auspicthe great propaganda of prevention and the ion.". Questioning developed that they had saving of healthy human lives who have not been treating a child for suoh an eruption yet been infeoted.

R. B. H. G. whiob they had diagnosed as due to a luxa

tion of one of the dorsal vertebra." Investi.

gation showed that the child and its "doc. DR. G. R. PISEK, New York (Jour. A.M.A.), tore" had the smallpox, and they were sent calls attention to the importance of the to quarantine. It is safe to say that these

proper excretion of heat osteopaths will hereafter have a belief in

to infant health and something other than dislocation when they Hot Weather

how it is affected by Feeding of

see this form of eruption, but what of the diet, atmospherio hu. community wbile others are learning the Infants.

midity, etc. The tem- same lesson?

perature of the air, therefore, is not a safe guide to follow in judging summer conditions and the causes of ICHTHYOL.-So eminent an authority as digestive disturbances in infants. The need Dr. Bulkley, says that ichthyol stands very of care to prevent food infection still further bigh in importance among the newer addi. complicating the conditions is also pointed tions to the therapeutics of dermatology. In out. He sums up his conclusions, in sub. eczema in 10 per cent ointment, in dermatitis stance, as follows: 1. In warm weather keep herpetiformis in 5, 10 or even 20 per cent a light woolen garment over the abdomen to aqueous solution, in burns 6 to 10 per cent prevent sudden chilling and retention of heat ichttyol ointment, in pruritus api as ointby suppression of perspiration. 2. Bathe ment or wash, in chronio nlcers of the leg in the child twice daily to remove salts and fats stronger solutions.

THE REVIEWER'S TABLE the narrower and more strictly personal items Books, Reprints, and Instruments for this department, should of the teaching. Some teachers hold that be sent to the Editors, St. Louis.

note-taking is the best method, and are opA LABORATORY MANUAL OF PHYSIOLOGICAL

posed to printed summaries because these CHEMISTRY. By Elbert W. Rockwood, M.D., Ph. D., Pro latter obviate the student's obligation to fessor of Chemistry and Toxicology and Head of the De. partment of Chemistry in the University of Iowa, etc. Sec

take notes. In a large experience with a class ond edition, revised and enlarged. With one colored plate of stuents of the best type of those in Ameriand three plates of microscopic preparations. Large 12mo, 229 pages, extra cloth. Philadelphia, Pa.: F. A. Davis Com can professional schools, I have been led to pany, Publishers, 1914 Cherry street. (Price, $1.00, net.)

the view that voluminous note-taking is not In reviewing the second edition of this

a good method. The pronunciation of techpractical work we are again impressed with

rical terms is so irregular, and many of them the remarkable progress which is being made

are so strange to students, that they are enin this special branch of science. These are

tered erroneously in the notes and serious days of applied chemistry, and today as never

errors may be inade and persist. The writ. before the student must leave his college

ten word is necessary to full knowledge; the with a thorough working knowledge of pby.

conipend affords this aid. The merit of any siological chemistry. This volume bas been

compend will depend on the correctness of the prepared with an aim of imparting accurate

statements and the clearness and conciseness knowledge through the student's own observ.

of the text.” ation, it purposes guiding his experiments

In this little volume Prof. Leffmann conthrough accurate and scientifio channels that

cisely considers organic and inorganic chem. the results may be in the highest degree prac. istry in so far as a knowledge thereof is nec. tical. The work has been arranged to re.

essary to the graduate in medicine, conclud. quire but a small stock of apparatus and

ing the volume with practical discussions only such reagents as are easily obtainable.

of uranalysis, the obemistry of milk, blood The text has been made concise, yet explicit

tissues and secretions, eto. The book is ex. in matter of pecessary detail. Revision has

cellent in every sense, and will continue placed the instruction abreast with the

popular with students and practitioners who latest advances in an ever.developing and

wish to "brush up." advancing science. As a guide for independ. ent or class laboratory work the volume will give great satisfaction, opening the door ABBOTT'S ALKALOIDAL DIGEST. A brief description

of the therapeutics of some of the principal alkaloidal medito an intelligent view and practical acquaint caments with suggestions for their clinical application. By ance with a field of scientific information

W.C. Abbott, M.D., editor of the American Journal of Clin

ical Medicine. Chicago: The Clinic Publishing Co. (Price, whicb bas been largely developed since many 50 cents.) of us left college.

The remarkable enthusiasm of those who are using alkaloidal therapy has been so often

witnessed, and of late is so frequently met A COMPEND OF MEDICAL CHEMISTRY, INORGANIC AND ORGANIC, INCLUDING URINARY ANALYSIS.

that there is no longer room for skepticism By Henry Leffmann, A. M., M. D., Professor of Chemistry in

about the efficacy of this system of medicathe Woman's Medical College of Pennsylvania. Fifth edi. tion, revised. Philadelphia, Pa.: P. Blakiston's Son & Co., tion. Unquestionably the writings of Dr. 1012 Walnut street, (Price, cloth, $1.00 net.: interleaved for taking notes, $1.25 net.)

Abbott have done more than any other one The why of the existence of the student's agency to bring this about. This little book compend has nowhere been more satisfac. is like a dictionary in being full of iuformatorily explained than by Prof. Leffmann in his tion, and like the dictionary it contains nothpreface. He says that "it has been said that ing unimportant; to pick features would be Alexander Pope is a poet whom everybody like trying to say the definition of which word quotes and nobody reads. It may be said of in Webster is the most important. It gives compends that they are books that most pro. in concise language and compact form the fessors and reviewers condemn and that alkaloidal platform and the explanation of nearly all students use. The truth is, the why therefore. It is a most readable that in the present systems in professional book and one reading will insure further schools, students are obliged to meet two dis. readings and investigation. tinct requirements. They must study for the knowledge necessary for the practice of the THE HEALTH CARE OF THE BABY. A Handbook for profession and they must study to pass ex.

Mothers and Nurses. By Louis Fischer, MD. 12mo cloth,

166 pages. New York City: Funk & Wagnalls. (Price, 75 aminations. The latter are in so many cases cents, net; by mail, 82 cents.) arbitrary in scope, affected by the personal Dr. Fischer has succeeded in producing a equation of the examiner, that the student book which must in a high degree meet the cannot be blamed for resorting to a concise needs of mothers and those who have the presentation of the more important facts of care of infants, and who are so situated that the science, supplementing this by notes of they must depend upon their own resources

paling teethind the sand

in various possible emergencies. The book of selections, reviews, notices, etc., the folhas the advantage over many of like purpose lowing: Erotic Symbolism-Psychoencephain that it is really scientific and thorougbly lonasthenia or Cerebrasthenia Simplex, and practical. Every mother should be familiar Psychoenoepbalonasthenia or Cerebrasthenia with such details of ventilation, clothing and Insaniens-Mixoscopio Adolescent Survivals bathing as are here presented, and the sub. in Art, Literature and Pseudo Ethios-A jects of feeding, weaning, teething and the Morphia Maniac on Trial for Murder-A symptoms of intestinal and other disease are Medico. Legal Study of the Matthews Caseworthy of thougbtful study. Such knowledge Sadism : Report of a Medico-Legal Caseis entirely within the province of those who A Case of Reflex Epilepsy-Prognosis in have the care of infants, and it is indeed & Epilepsy-Dr. Geo. T. Tuttle-Cojal and the satisfaction to find it presented in a suitable Development of tbe Nervous System-Chi. scientific form, and sborn of suoh fads and cago Beef Packing Rottenness-Sanitary Hon. inaccuracies as characterize the mass of esly-The Discovery of Ether Anaesthesia works meant for lay readers.

once more—The Other Fellows Point of View -The Proprieties and the Proprietaries

The Iowa Euthanasia Proposition — The ZOROASTRIANISM TO-DAY.–Probably no Metro.Therapy or Metrotherapy of Neuras. man living today has been privileged to know thenia-Congressman Brownlaw's Billso much of the so-called fire-worshipers of Characteristic of tbe Doctors Charity and Yezd as A. V. Williams Jackson, professor Likewise of the Other Fellow-Terrible Rail. of Indu-Iranian languages at Columbia Uni. way Fatality-Pertinent Protest Against versity. On his recent visit to Yezd be was 'Overstudy-Lower Ceilings and Patent Fix. an honored guest of Dinyar Bahram, head tures-Remarkable Publio Press Statementof the Zoroastrian community there, met Hospital Provision for the Insane and Delir. many other notable Zoroastrians, visited one ious— Missouri's New Prison Hospital-A of the fire temples, and was allowed access to Negro Saved from Mob Becomes Insane-An interesting manuscripts. His account cf this American Institute for Psychological Revisit and of "A Religion Nearly Three Thous- search is Projeoted for America-Oklahoma and Years Old” will be a feature of the Sep. Insane Asylum Burned—The Moro Immolatem ber Century and promises to read like a tion Psychologically considered-Instances page out of the past of another world--for of Psychic Cause Blindness—The National this community of fire-worshipers is fifteen Druggist. hundred years more ancient than the Coptio monasteries. '

MORRIS' ANATOMY UNDER AMERICAN ED. THE summer number of The Quarterly

ITORSHIP.-A new edition of Morris' AnatJournal of Inebriety is a particularly nota.

omy is announced by P. Blakiston's Son &

Co., wbioh will shortly be in the bands of ble issue of this always interesting and valu. able publication. It has been greatly en.

the profession. It will contain two features larged and its typographical appearance is

which, aside from other considerations, must exceptionally attractive. Among the leading

appeal particularly to all teachers and stu. articles in this number are: “The Relation

dents of the subject who desire a text-book of Alcohol to Tuberculosis,''by J. W. Gros

embodying the best modern thought, methods venor, M. D.; "Physiological Action of Tea

of study and results of recent investigation. as a Beverage,” by Sir Lander Brunton, M.

These are, first, the fact that seven of the D.; "Morbid Predisposing Canses in Dipso

best known American anatomists bave been mania,” by W. L. Howard, M.D.; "Reflexes

prevailed upon to write, rewrite and revise from the Eye in Narcosomania," by T. H.

various sections. Second, the adoption of Evans, M.D.; "The Alcohol Cult,” by John

the new (B. N. A.) nomenclature. The ef. Madden, M.D.; “Comparison of the Effects

fort to systematize and regulate the anatomof Alcobol and Opium,” by W. H. Park, M.

ical nomenclature has received in no other D., and two articles by the editor, Dr. T. D.

country outside of Germany so much encour. Crothers, on “Unrecognized Toxic Insani.

agement as in the United States. There are ties" and "Farmfield Reformatory for Ine.

many reasons which favor its general adopbriate Women.” Many pages of sound edi.

tion and there have been no good arguments torials, entertaining abstracts, book reviews

advanced against it. It contains but few and comments complete an issue that will

terms not easily recognizable by those who prove of interest and value to every physi.

have been accustomed to the old, and its use cian. (Boston: $2.00 a year.)

renders the literature of other countries more

readily understandable by students who conTHE ALIENIST AND NEUROLOGIST for Au. tinue their studies in foreign tongues, and gust will contain, besides the usual number facilitates reference to the translations of sev.

partment Staff.

eral German Atlases now used extensively in REPORTS ON PROGRESS this country. The literature of anatomy, comprising the Regular Contributions of the Fortnightly Deembryology and histology has been enriched by recent investigations of Americans, and the work accomplished in the laboratories

INTERNAL MEDICINE. of American medical schools has been recognized throughout the scientific world. It

0. E. LADEMANN, M. D. is eminently proper that in a new edition of Estimation of Uric Acid in the Urine.a book such as Morris, American students Kowarske (Deutsche Med. Wochenschrift, and American work should be recognized. No. 25, 1906) proposes a modification of Those who have taken this burden upon Hopkin's method, whiob, in addition to its their shoulders are men who have had ex- acuraoy posessses the following advantages: perience as teachers and investigators, men (1) Comparatively little time is consumed in who are acquainted with the trend of mod. its performance; (2) No especially con. ern thought, with recent literature and with structed apparatus is necessary; a centrifuge, the best methods presenting and teaching pipette and hurette is all that is required; (3) the subjeots which they discuss. The pub.. The analysis requires but a small amount of lisbers have spared no outlay to forward the urine; the method, therefore, is equally appli. aims and wishes of all contributors; many cable for scientifio investigation on metabo. illustrations wbich appeared in previous edi. lism in small animals; (4) Several uric acid tions have been omitted, others have been estimations can be simultaneously made with improved, a large number of new figures but little additional time. The estimation is have been made from drawings specially pre made as follows: Ten co. of urine, measured pared for the purpose, and pictures from other in a pipette, are placed into a thin centrifugal books have been inoluded where they served tube, with a capacity of 15 cc., add to this the desired purpose.

two or three drops of ammonia and three

grams of ammonium chloride; cork the tube ALFRED BEIT, the South African multi

with a well fitting rubber stopper and shake · millionaire, died the other day. His estate is the contents until the ammonium obloride is estimated at $500,000,000. He did not take all dissolved. The urates of ammonia separ. it with him!

ate in the form of a flocculent sediment, the

separation being complete after standing two LOBELIN.--In spasmodio retention of urine

hours. A two minute centrifugation will due to strioture, give gr. 1-13, every ten min.

suffice to precipitate the sediment firmly to utes, after atropine gr. 1-250, in a little hot

the bottom so that the supernatant fluid can water. Dissolve gr. 1.67 lobelin in twenty

be decanted by gently tilting the tube. In drops of hot water and inject into the deep

deoanting care should be taken not to disturb urethra. - Candler, American Jour, of Clin

the sediment.
the sedin

Five drops of concentrated ical Medicine.

hydrochloric acid are now added to the sedi. An English traveler once met a companion ment and the whole gently heated over a small sitting in a state of the most, woeful despair, flame, whereupon the ammonium urate disand apparently near the last agonies, by tbe solves and uric acid appears in the form of a side of one of the mountain lakes of Switzer. fine crystaline sediment. One hours standland. He inquired the cause of his suffer. ing is required to effect a complete uric acid ings. “Oh,” said the latter, “I was very hot separation. Two oc. of distilled water is then and thirsty and took a large draught of the added and the whole again centrifugated unclear water of the lake, and then sat down on til sedimentation is complete and the fluid this stone to consult my guide-book. To my above poured off. The sediment is now astonishment I found that the water of this slightly shaken with two or three co. lake is very poisonous ! Ob, I am a gone man of alcohol centrifugated and decanted. -I feel it running all over me. I have only The latter step is repeated two or three a few minutes to live! Remember me to~" times until the alcohol reacts neutral to Let me see the guide-book,” said his friend. litmus paper. The entire process of washing Turning to the passage, he found, "L'eau should not require more than three or ove du lao est bien poissoneux (“The water of minutes. After the final alcoholio washing and this lake abounds in fish”). "Is that the decantation the sediment is slightly agitated meaning of it?" "Certainly." The dying with about two co. of hot distilled water to man looked up with radiant countenance. which is added several drops of the indicator “What would have become of you,” said his phenolphthalein and the hot solution titrated friend, "if I had not met you?I should with a one-fiftieth normal piperidin solution have died of imperfect knowledge of the in the ordinary manner until the rose color of Frenob language.”—Modern Eloquence. the solution remains permanent. The simple mathematical calculation of multiplying the trophy of the hypophyses be observed som. number of cubio centimeters of the piperidin nolence, while the same is equally true in con. solution used in titrating by 3.36 gives us the ditions where the secretion of the gland is number of milligrams of uric acid in 10 cc. augmented, as in slight pilocarpine intoxi. of urine. For instance we use 1.5 oc. pip. cation, in affections with an associated by. eridin we will then have in the 10 co. of peremia of the pituitary body, as drunkndoss, urine, 3.36x1.5=5.04 mg. of uric acid; 100 injury to the head and the like. Insomnia, cc. of urine 5.04x10=50.4 mg, or 0.0504 on the other hand, is noted wbere there is a grams, that is 0.0504 per cent of uric acid. hyposecretion of the gland as in destructive

or degenerative processes, in exophthalmic Tubercular Disposition of the Apices of the

goiter, where the gland has been found hard Lungs.-Hofbauer (Zeitschrift f. klin Medi. and small, those conditions with diminished zin, Bd. LIX., Heft. 1, 1906) discusses why glandular secretion resulting from nutritional the apices are more subjeot to the invasion of disturbances, as old age, inanition, neuras. the tubercle bacillus than other portions of thenia, eto., atropin by its glandular inhibitthe lungs. He believes this predisposition ing effect, and, finally, emotional influences is essentially due to differences in the physio- cause sleeplessness through a byposecretion. logical relationship. The respiratory variations in pressure are most marked in the cau. Angina pectoris as an Early Symptom of dal portions of the lungs, while in the remain Aneurism of the Aorta.–Osler (Med. Chron. ing parenchyma this pressure is less and in ioal, May, 1906) remarks tbat poin is one of the apices almost entirely wanting. This the earliest and most constant symptoms in pressure difference favors botb the blood and aneurism of the aorta, having observed it in Jymph supply, consequently its diminution 104 cases out of 132. The pain may have the or absence in the apices means a deficient character of true angina. This anginal type blood supply. Limited apical expansion, cocurred in 22 cases. A second type of pain therefore, favors the development of the tu. is sharp and neuralgic in character, often exbercle bacillus, not however, on account of tending along the course of the nerves. This the more firm lodgment of the inhaled parti. type, due to pressure of the aneurism on the cles as was formerly supposed but the result nerve, may also be paroxysmal and very greatly of poor nutrition.

in intensity. A third type of pain is dull

and boring'in character and is most common The Origin of Pulmonary Tuberculosis.— in erosion of the chest wall or spine. It is Schlossmann and St. Engel's (Deutsche Med. not always easy to distinguish this from the Wochenschrift, No. 27, 1906) research work second variety, but patients say they can ap. is a corroboration of Bebrings view and preciate the difference and it is this form that proves incontestably that pulmonary tuber is most severe. A fourth type of pain is reculosis may result from intestinal infection ferred to the nerves of the arm or to the with the tubercle bacillus. Their experi- skin in the precordial region, or to the pecments consisted in injecting into the ex. toral or sternocleido mastoid muscles. Pain posed stomach of guinea-pigs, under the down the left arm was a marked sympton strictest precautions, an emulsion of equal in 22 cases. Osler details the bistory of · parts of pure culture of tubercle bacilli and

Onges in which typical symptoms of angina

coges in which tvnical sum milk or cream. Tuberole bacilli find their pectoris preceded by a year or two the de. way into the lungs shortly after the injec. velopment of an aneurism. tion, as the authors demonstrated in a

Is Neuralgia a Functional Disease?-Gorguinea-pig four days old which had been subjected to the above experiment. This

don (New York Medical Journal, July 21, animal was killed six hours after the injec

1906) bases the following conclusions on a tion of the bacilli emulsion and particles of

study of the pathological findings of eight lung tissue were implanted intraperitoneally

cases of neuralgia, together with those of into a series of other guinea-pigs. These

other investigators: 1. The occurrence of animals, without excepton, all succumbed to

degeneration of the peripheral nerve is fre

quent if not constant in neuralgia. 2. That tuberculosis.

this nerve degeneration is very probably a priThe Origin of Sleep.-Salmon (Revue de mary condition, which as a neuritis assumes Medecine, vol. XXVI, No. 4, 1906) discusses an ascending course and involves secondarily at length the physiology of sleep, promulgat. the Gasserian ganglion. Although this coning the theory that it is due to some internal tention is still debatable, there is great prob. secretion of the pituitary body. He supports ability in favor of the above view. 3. The this view by presenting the following argu- blood vessels undoubtedly play a certain role ments. In eight cases of acromegaly and in in the causation of a degenerative state of other affections in which there is a hyper- the peripheral nerve. 4. That it is difficult

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