case of all the allopathic amides. The present work shows on the contrary, however, that acetamide proves, apparently, to be an exception to the general rule governing allopathic amides.

3. Some Clinical Observations on Blood Flow, by G. N. Stewart. The method of estimating blood flow through the hands and feet, the only portions of the body which adapt themselves to such procedure, consists of determining the amount of heat given off by these parts, in properly constructed calorimeters. Relative to the reliability and constancy of such estimations, as shown by repeated checkings in a given case, there is a remarkably small amount of variation.

There are certain generally constant results on the blood flow in different diseases. In the case of valvular lesions, the blood flow, naturally, varies greatly with the degrce of compensation. In arteriosclerosis the flow, as would be expected, is small. In bradycardia the flow may be good or bad, depending on the efficiency of the mass movement of blood with a slow cardiac rate. In tachycardia the flow is quite apt to be small, showing that an overacting, rapid heart is less likely to be efficient. In cases of hemiplegia there is quite commonly a deficiency in the flow on the paralyzed side, the vasomoters, doubtless, being affected with the other nervous supply of the part. In progressive muscular atrophy, however, there is no change.

In tabes, as would be expected, it being a spinal cord disease, the vasomotor reflex is small. That is to say, that while normally when one extreme is placed in warm or cold water there is a corresponding increase or decrease in the blood flow through the opposite part, such a change is but feebly exhibited in tabes.

Estimation of the blood flow is of interest in cases of emboli, aneurism, and many others. It has a real clinical value. Thus, when a part following operation or disease, has a small blood flow, the increase or decrease in the blood flow may indicate either the gradual restoration of the circulation of the part to normal, or may show the likelihood of a subsequent gangrene. The method, therefore, is valuable from the standpoint of prognosis.

The disadvantage in the method lies in the amount of time consumed in its use, namely. 45 minutes, for each estimation, and also in the rather tedious technic which it demands.

COUNCIL MEETING

At a meeting of the Council of the Academy of Medicine of Cleveland, held Wednesday, December 8, 1915, at the Bismarck, the following members were present: The President, Doctor Hoover, in the chair; Doctors Perkins, Moorehouse, Houck, May, J. J. Thomas, Ford, Webster, Follansbee, Selzer, Sawyer, Weir, and J. E. Tuckerman.

The minutes of the last meeting were read and approved.

On motion the following applicants were elected to active membership in the Academy:

C. D. Christie, E. D. Saunders, B. J. Sawicki, Alvin A. Stone. On motion Doctor E. C. Konrad was reinstated in active membership. The transfer of Doctor Kate Johnson Harris from the Wayne County Medical Society was accepted, on motion.

On motion the names of the following applicants for membership in

the veterinary section were ordered published:

H. Fulstow, D. V. M., Norwalk, O.; Phil. H. Fulstow, D. V. M., Norwalk, O.; C. A. Jones, D. V. M., Medina, O.; Wm. F. Wise, D. V. M., Medina O.

The Secretary read the list of members dropped for non-payment of dues.

The following resolution was introduced by Doctor J. J. Thomas:

"Whereas, A change of city administration is about to take place, and "Whereas, The Academy of Medicine of Cleveland is inherently interested in the promotion and maintainance of public health, and

"Whereas, The conduct of the Division of Health during the past six years has been in accord with the best professional standards and shows not only a high degree of personal efficiency, but embodies a policy which has enlisted both professional and lay co-operation, therefore

"Be it resolved, That inasmuch as every health interest of the public can best be served by the continuance in office of the efficient and faithful officers by whom an increasing measure of professional confidence and support have been won, we urge upon the incoming administration that the present Division of Health, both as to personnel and methods, be continued."

After full discussion, the resolution carried. On motion by Doctor Moorehouse, Doctors J. J. Thomas, C. F. Hoover and G. E. Follansbee were constituted a committee to present the resolution to Mr. Davis.

A special meeting of the Council of the Academy of Medicine was held Wednesday, December 22, 1915, at the University Club to organize for the ensuing year. The members present were: The President, Doctor Wm. Evans Bruner; Doctors Updegraff, Thomas, Ceib, Selzer, Houck, Sawyer, Weir, Bernstein and Tuckerman, and by invitation, Doctors C. E. Ford and Lester Taylor.

On motion the following were elected chairmen of the standing committees:

Legislative-Doctor C. E. Ford.

Civic-Doctor H. L. Sanford.

Public Health-Doctor R. G. Perkins.

Membership-Doctor G. W. Moorehouse.
Program-Doctor Lester Taylor.

On motion the Secretary was directed to ask Doctor Alven S. Storey, chairman of the sub-committee on indemnity and defense insurance, to be present at Council meetings until further action.

On motion by Doctor W. H. Selzer the following resolution was adopted:

"Whereas The contemplated deletion of whiskey and brandy from the U. S. Pharmacopoeia by the committee of revision leaves no standard for these substances when prescribed for medicinal purposes, and

"Whereas The decree of Congress makes the pharmacopoeia the recognized and legal standard for medicinal substances, therefore,

"Be it Resolved-That the Academy of Medicine of Cleveland disapproves the action of the committee in proposing to omit these substances from the Pharmacopoeia."

Doctor C. E. Ford made a report for the Committee of Arrangements for the meeting of the Ohio State Medical Association.

A general discussion was entered into by the members present as to the general policy to be followed by the Program Committee.

On motion Doctor G. E. Follansbee was elected to fill out the unexpired term of Doctor R. F. Skeel.

BOOK REVIEWS

On Dreams. By Sigmund Freud. Translated by M. D. Elder; 110 pages, Paul B. Hoeber, New York, 1915. Price, $1.00.

12 mo.

When this short essay, achieved in book form, has been completed the reader has a quickened sense of the dramatic nature of medicine and of its romantic possibilities. The author has here brought his theories and their sources and explanations together into a most delightfully readable form. The theories are ingenious and although not generally accepted, they have been the foundation of methods of treatment in mental cases which have assuredly in many cases been successful. That the success may come from other reasons than those given by Freud does not lessen the charm of his ideas nor the interest they have aroused. The further developments along these lines, the psychology of dream life and the relation existing between past psychological states and present mental pathological conditions, will be watched with active interest by those who have read this exciting little volume of Freud's. H. H.

The Practice of Pediatrics. By Charles Gilmore Kerley, Professor of Diseases of Children in the New York Polyclinic Medical School and Hospital; Attending Physician to the New York Nursery and Child's Hospital; Assistant Attending Physician to the Babies' Hospital, etc. Illustrated. W. B. Saunders Company, Philadelphia and London, 1914. Price, $6.00.

Doctor Kerley has followed his previous work, "The Treatment of Diseases of Children," by a more elaborate volume, “A Practice of Pediatrics." The larger volume adds another to the large number of such books which have been published in recent years, but it is by no means a superfluous one. The book is well planned and executed and should be a distinctly valuable work for the student or practicing physician. There are many practical suggestions, often omitted in the usual textbook and sections upon gymnastic therapeutics and upon drug dosage which are frequently missed. Following the trend of the American Schools of infant feeding, Kerley has practically ignored the calorimetric principles in infant feeding. He says "the calorimetric standard is to me a means of little utility in infant feeding, and infants whom I see cannot be thus fed to the best advantage." A very short exposition of the method is given This was only inserted at all because of criticism of its absence from his former textbook. This attitude upon Doctor Kerley's part is distinctly foreign to the advanced position he takes upon other matters and the scientific breadth of his viewpoint in general. It is a distinct detriment to the worth of the book. H. H.

Lead Poisoning. Sir Thomas Oliver, M. A., M. D., M. R. C. P., Consulting Physician, Royal Victoria Infirmary, and Professor of the Principles and Practice of Medicine, University of Durham College of Medicine, Newcastle-Upon-Tyne; Late Medical Expert, Dangerous Trades Committee. Home Office. Paul B. Hoeber, New York, 1914. Cloth. Price, $2.00.

A series of lectures delivered at the Royal Institute of Public Health. From the Industrial, Medical and Social Point of View.

A small volume of 294 pages, giving a very readable discourse on the widespread and ever-increasing usage of lead in the arts and manufactures, the dangers to the workers with it, and the provisions to safeguard them. Lead poisoning, acute and chronic, its effect on the general organism, special organs and tissues, are discussed in an authoritative manner.

The work will prove of value to one who wishes to orient himself quickly and reliably on this most interesting metal, and in a medico-legal sense as well, especially in that class of cases of doubtful integrity, grouped under so-called personal damage suits. J. G. S.

Educational Hygiene. Edited by Louis W. Rapeer, Ph. D.; pp. 650. Charles Scribner's Sons, New York, 1915. Price, $2.25.

This volume makes a valuable addition to the literature dealing with the health of those who are attending our educational institutions. The importance of preserving the health of our school children is being realized as never before, and this is essential for the success of the whole movement for better public health. So the book in every way is very timely.

The chapters of this volume are written by a number of specialists and brought together under the editorship of Doctor Rapeer. This procedure tends to produce some repetition and some lack of uniformity. This, however, is not a serious objection and very probably is compensated for by the advantage of obtaining more than one person's viewpoint upon the subject.

The book is well arranged and the material is presented in a logical manner. The following are the main divisions of the book: Health sociology, the administration of educational hygiene, the divisions and practice of educational hygiene, and the hygiene of the college.

The first part deals with the sociological aspects of the subject. In this connection the public health movement as a whole is discussed, and the vital relation educational hygiene bears to it is brought out. Educational hygiene is defined as "all agencies for the promotion of health measures," and in the sense used in the book, "as the name given to all the phases of health promotion work which may be and are undertaken by schools." The public health movement is surely sorely in need of the assistance of such educational hygiene. The discussion of the public health movement is interesting, instructive and up-to-date. The fact that there is a lack of uniformity in health laws and that there is no scientific standardization of health work is ably and justly emphasized. The socialization of health work is urged, and the authors see no danger in socialized medicine. Needless to say the view is taken that the school should serve as a social center for the community.

In the second part the administration of educational hygiene is well presented. A scheme is given for initiating a system of educational hygiene in the school. The value of efficient organization is emphasized, also the vital need of securing adequately trained administrators and assistants. In this connection one cannot help praising the admirable qualifications which are drawn up as necessary for an educational hygienist or supervisor of health. The position is taken that the health work of the schools should be under the board of education rather than under the board of health. After reading this book one is inclined to believe that this procedure is correct. The great importance and value of the trained nurse in the work and organization of educational hygiene is particularly and rightly emphasized.

The third part has five subdivisions as follows: Medical supervision of schools, school sanitation, physical education, the teaching of hygiene, and the hygiene of instruction. All of these subdivisions are ably handled, and the material is presented in an interesting and instructive manner.

The fourth part deals with the health activities of women's and men's colleges.

The book is well written and on the whole reads very easily. It is attractive in appearance and is printed on a fair quality of paper in good type, and is interestingly illustrated. The book deserves a great deal of commendation for the extensive references which are given on the subject of school hygiene. Not only is an extensive bibliography given, but there are numerous references to agencies and organizations from whose experience valuable information can be obtained.

The reviewer can heartily recommend the book to those who are looking for an authoritative work on the subject of educational hygiene. G. E. H.

ACKNOWLEDGMENTS

Diseases of the Skin. By Henry H. Hazen, A. B., M. D., Professor of Dermatology in the Medical Department of Georgetown University; Professor of Dermatology in the Medical Department of Howard University; Sometime Assistant in Dermatology in the Johns Hopkins University; Member of the American Dermatological Ass'n. Two hundred and thirtythree illustrations, including four color plates. C. V. Mosby Company, St. Louis, 1915. Price, $4.00.

Theory and Practice of Bloodletting. By Heinrich Stern, M. D., LL. D., Visiting Physician, St. Mark's Hospital; Consulting Physician, Methodist Episcopal (Seney) Hospital; Founder and Editor of the Archives of Diagnosis; Formerly Chairman, Section on Pharmacology and Materia Medica, American Medical Association, etc. Rebman Company, New York, 1915. Price, $2.50.

Nitro By Hypo. By Edwin P. Haworth, Superintendent of The Willows Maternity Sanitarium. The Willows Magazine Company, Kansas City. Price, $1.00.

The Practical Medicine Series, Vol. IX-Skin and Venereal Diseases. Edited by Oliver S. Ormsby, M. D., and James Herbert Mitchell, M. D. The Year Book Publishers, Chicago. Series 1915. Price, $1.35.

The Practical Medicine Series, Vol. X-Nervous and Mental Diseases. Edited by Hugh T. Patrick, M. D., and Peter Bassoe, M. D., The Year Book Publishers, Chicago, Series 1915. Price, $1.35.

Speaking of Operations. By Irvin S. Cobb, Author of "Back Home," "Europe Revised," etc. Illustrations by Tony Sarg. George H. Doran Company, 1915. Price, 50 cents, net.

Dinner Tendered to Irvin S. Cobb. Waldorf-Astoria Hotel, April 25, 1915. George H. Doran Company, 1915.

The Medical Clinics of Chicago, Vol. I, No. 4. January, 1916. Published bi-monthly by the W. B. Saunders Company, Philadelphia and London. (Six Numbers a Year, $8.00.)

Painless Childbirth, Eutocia and Nitrous Oxid-Oxygen Analgesia. By Carl Henry Davis, A. B., M. D., Associate in Obstetrics and Gynecology, Rush Medical College in Affiliation with the University of Chicago; Assistant Attending_Obstetrician and Gynecologist to the Presbyterian Hospital, Chicago. Forbes & Company, Chicago, 1916. Price, $1.00.

A Brief Bibliography of Books in English, Spanish and Portuguese, Relating to the Republics Commonly Called Latin-American, with Comments. By Peter H. Goldsmith, Director of the Pan-American Division of the American Association for International Conciliation. MacMillan Company, New York, 1915.

Treasury Annual Reports for 1915. United States Public Health Service. Government Printing Office, Washington, D. C.

Post-mortem Examinations. By William S. Wadsworth, M. D., Coroner's Physician of Philadelphia. With 304 Original Illustrations. W. B. Saunders Company, Philadelphia and London, 1915. Price, cloth, $6.00; half morocco, $7.50, net.

A Manual of Hygiene and Sanitation. By Seneca Egbert, A. M., M. D., Professor of Hygiene and Dean of the Medico-Chirurgical College of Philadelphia; Member of the Academy of Natural Sciences of Philadelphia. Sixth Edition, Enlarged and Thoroughly Revised. Illustrated with 141 Engravings and 5 Plates. Lea & Febiger, Philadelphia and New York, 1916. Price, cloth, $2.25, net.