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gan, Dr. H. Stuck, Allegan; Dr. H. Whitney, Otsego; Dr. W. A. Singleton, Hickory Corners.

Kent County. Dr. H. J. Beel, Grand Rapids; Dr. H. Blackburn, Grand Rapids; Dr. R. C. Breece, Ada; Dr. J. S. Brotherhood, Grand Rapids; Dr. F. A. Boet, Comstock Park; Dr. A. M. Campbell, Grand Rapids; Dr. L. H. Chamberlin, Grand Rapids; Dr. J. R. Coryell, Grand Rapids; Dr. B. R. Corbus, Grand Rapids; Dr. C. W. Deaver, Grand Rapids; Dr. P. J. DePree, Grand Rapids; Dr. H. W. Dingman, Grand Rapids; Dr. J. C. Foshee, Grand Rapids; Dr. C. M. Freeman, Ada; Dr. T. D. Gordon, Grand Rapids; Dr. H. A. Grube, Grand Rapids; Dr. J. T. Hodgen, Grand Rapids; Dr. J. N. Holcomb, Grand Rapids; Dr. W. D. Lyman, Grand Rapids; Dr. J. C. Kenning, Grand Rapids; Dr. F. C. Kinsey, Grand Rapids; Dr. W. D. Lyman, Grand Rapids; Dr. J. H. Muller, Grand Rapids; Dr. A. M. Martin, Grand Rapids; Dr. A. A. McNabb, Grand Rapids; Dr. A. G. McPherson, Grand Rapids; Dr. L. E. Sevey, Grand Rapids; Dr. R. R. Smith, Grand Rapids; Dr. A. B. Smith, Grand Rapids; Dr. F. N. Smith, Grand Rapids; Dr. R. E. Toms, Grand Rapids; Dr. R. T. Urquhart, Grand Rapids; Dr. P. Ver Meulen, Grand Rapids; Dr. W. E. Wilson, Grand Rapids; Dr. S. M. Wells, Grand Rapids; Dr. J. B. Whinnery, Grand Rapids; Dr. F. C. Warnshuis, Grand Rapids.

Livingston County. Dr. Vern N. Richesen, Howell; Dr. William J. Rynearson, Parshallville.

Macomb County. Dr. Henry G. Berry, Mt. Clemens; Dr. Harold A. Kirkham, Mt. Clemens; Dr. Charles A. Martin, Mt. Clemens; Dr. Harry F. Taylor, Mt. Clemens; Dr. Russell W. Ullrich, Mt. Clemens; Dr. Arthur J. Warren, Mt. Clemens; Dr Robert M. Greenshields, Romeo; Dr. Edgar J. Miller, Romeo; Dr. Milton C. Smith, Romeo; Dr. C. B. Lockwood, Washington.

Manistee County. Dr. Lee Lewis, Manistee; Dr. A. A. McKay, Manistee; Dr. H. McMullen, Manistee; Dr. W. Norconk, Bear Lake; Dr. L. Ramsdell, Manistee.

Marquette County. Dr. I. Abrahanson, Negaunee; Dr. A. V. Braden, Ishpeming; Dr. H. T. Carriel, Marquette; Dr. W. B. Lunn, Marquette; Dr. C. J. Larson, Negaunee; Dr. I. Sicotte, Michigamme; Dr. L. L. Youngquist, Marquette.

Mecosta County. Dr. Wm. T. Dodge, Big Rapids; Dr. Rolla G. Karshner, Big Rapids; Dr. Glen D. Ransom, Big Rapids; Dr Gordon H. Yeo, Big Rapids.

Menominee County. Dr. C. R. Elwood, Menominee; Dr. W. R. Hicks, Menominee; Dr. E. V. McComb, Meno. minee; Dr. H. T. Sethney, Menominee.

Midland County. Dr. Chas. V. High, Sr., Coleman; Dr. John E. Heslop, Edenville; Dr. James H. Johnson, Midland; Dr. Rene J. St. Louis, Midland.

Monroe County. Dr. Hugh R. Hildebrant, Dundee; Dr. Herbert W. Landon, Monroe; Dr. Frederick 'C. Thiede. Monroe.

Montcalm County. Dr. Don V. Hargrove, Carson City; Dr. Albert S. Barr, Greenville; Dr. Albert J. Bower, Greenville; Dr. Noble W. Miller, Howard City; Dr. Lee E. Kelsey, Lakeview; Dr. Mortimer E. Danforth, Stanton.

Muskegon County. Dr. C. M. Colignon, Muskegon; Dr. H. S. Cole, Whitehall; Dr. B. R. Eastman, Muskegon; Dr. W. L. Herick, Whitehall; Dr. F. W. Hannum, Muskeon; Dr. V. S. Laurin, Muskeon; Dr. F. N. Morford, Muskegon; Dr. E. S. Thornton, Muskegon.

Oakland County. Dr. F. S. Bachelder, Pontiac; Dr. S. A. Butler, Pontiac; Dr. L. G. Campbell, Birmingham; Dr. L. A. Farnham, Pontiac; Dr. F. D. German, Franklin; Dr. G. W. MacKinnon, Oxford; Dr. E. E. Orton, Pontiac; Dr. G. P. Raynale, Birmingham.

Oceana County. Dr. C. Day, Clinton; Dr. G. F. Lamb, Pentwater.

Ontonagon County. Dr. E. J. Evans, Rockland; Dr. E. A. Floren. tine, Ewen; Dr. J. L. Kelliher, Phoenix; Dr. E. A. Linger, Rockland; Dr. D. L. Lutes, Victoria.

Ottawa County. Dr. John J. Miller, Berlin; Dr. Harry Lieffers, Coopersville; Dr. Cornelius J. Addison, Grand Haven; Dr. George H. Thomas, Holland; Dr. William Westrate, Holland; Dr. Clayton A. White, Nunica; Dr. Joe De Pree, Zeeland; Dr. W. C. Kools, Holland.

Saginaw County. Dr. Harvey B. McCrory, Birch Run; Dr. George W. Peart, Burt; Dr. Geo. L. Alger, Saginaw; Dr. James D. Bruce, Saginaw; Dr. Benj. F. A, Crane, Saginaw; Dr. Walter A. Defoe, Saginaw; Dr. Wm. F. English, Saginaw; Dr. Bernhard Friedlaender, Saginaw; Dr. Leon B. Harris, Saginaw; Dr. Matthew Kollig, Saginaw; Dr. Alexander R. McKinney, Saginaw; Dr. Henry J. Meyer, Sag

inaw; Dr. Wm. L. Miller, Saginaw; Dr. James L. Passmore, Saginaw; Dr. Norman J. Pike, Saginaw; Dr. Emil P. W. Richter, Saginaw; Dr. Bert B. Rowe, Saginaw; Dr. John T. Sample, Saginaw; Dr. Roy S. Watson, Saginaw; Dr. Arthur E. Leitch, Saginaw.

Sanilac County, Dr. H. H. Angle, Snover; Dr. J. C. Webster, Peck; Dr. C. G. Woodhull, Decker.

Shiawassee County, Dr. James A. Rowley, Durand; Dr. Hermon E. Boice, Byron; Dr. Robt. R. Fox, Byron; Dr. Thos. G. Amos, Henderson; Dr. Glenn T. Soule, Henderson; Dr. Alfred F. Arnold, Owosso; Dr. James J. Haviland, Owosso.; Dr. Harold A. Hume, Owosso; Dr. Jesse O. Parker, Owosso; Dr. Geo. P. Sackrider, Owosso; Dr. Egerton T. Wilson, Owosso; Dr. William H. Dunham, Shaftsburg; Dr. Arden N. Howe, Vernon.

St. Clair County. Dr. I. P. Bowden, Port Huron; Dr. F. V. Carney, St. Clair; Dr. G. M. Kesl, Port Huron; Dr. A. J. MacKenzie, Port Huron; Dr. D. W. Patterson, Blain; Dr. G. Waters, Memphis; Dr. W. G. Wight, Yale.

St. Joseph County. Dr. John J. Kelley, Burr Oak; Dr. Wm. E. Doran, Colon; Dr. Arthur W. Scidmore, Three Rivers.

Tuscola County. Dr. F. P. Bender, Caro; Dr. W. C. Garvin, Millington

Washtenaw County. Dr. James F. Breakey, Ann Arbor; Dr. H. B. Britton, Ypsilanti; Dr. R. B. Canfield, Ann Arbor; Dr. H. W. Emerson, Ann Arbor; Dr. N. B. Foster, Ann Arbor; Dr. C. George, Jr., Ann Arbor; Dr. H. Malagan, Ann Arbor; Dr. Reuben Peterson, Ann Arbor; Dr. V. C. Vaughan, Ann Arbor; Dr. U. J. Wile, Ann Arbor.

Wayne County. Dr. De Witt C. Adams; Dr. Edward J.. Agnelly; Dr. Herman F. Albrecht; Dr. Frank C. Anderson; Dr. Warren L. Babcock; Dr. Frederick W. Baeslack; Dr. Max Ballin; Dr. Don C. Bartholomew; Dr. Charles Barton; Dr. Robert J. Baskerville; Dr. Robert Beattie; Dr. Harold A. Beck; Dr. Clarence H. Belknap; Dr. William 0. Benjamin; Dr. Zina B. Bennett; Dr. Harry S. Berman; Dr. Isadore I. Bittker; Dr. Fred H. Blanchard; Dr. Jacob R. Bolasny; Dr. Edmund W. Bolio; Dr. Ralph H. Bookmyer; Dr. Richard F. Boonstra; Dr. Henry R. Boyes; Dr. Frank B. Broderick; Dr. Clark D. Brooks; Dr. William H. Browne;

Dr. Wm. S. Brownell; Dr. Bruno B. Brunke; Dr. John D. Buck; Dr. Frederick G. Buesser; Dr. Glenn A. Bulson; Dr. John K. Burns, Jr.; Dr. Lowell M. Bush; Dr. Thos. P. Camelon; Dr. Geo. H. Campau; Dr. Duncan A. Campbell; Dr. Clarence Candler; Dr. Edward K. Carmichael; Dr. Glenn B. Carpenter; Dr. James G. Carr; Dr. Henry R. Carstens; Dr. John H. Carstens; Dr. Albert E. Catherwood; Dr. Aaron Lee Chapman; Dr. Clarence A. Christensen; Dr. Harold F. Closz; Dr. Don A. Cohoe; Dr. Homer C. Collins; Dr. Lannes I. Condit; Dr. Ray Connon; Dr. Bernard F Corbett; Dr. Langdon T. Crane; Dr. Ernest K. Cullen; Dr. Hampton P. Cushman; Dr. Samuel S. Danziger; Dr. Milton A. Darling; Dr. Jos. L. Desrosiers; Dr. Harry F. Dibble; Dr. John C. Dodds; Dr. Daniel R. Donovan; Dr. Ira G. Downer; Dr. David B. Downing; Dr. George A. Drescher; Dr. Leo J. Dretska; Dr. Adolph E. Dreyer; Dr. Charles F. DuBois; Dr. Frederick Eakins; Dr. Clarence H. Eisman; Dr. Rollan R. Ensor; Dr. Arthur W. Erkfitz; Dr. George E. Fay; Dr. Ray L. Fellers; Dr. Charles J. Foley; Dr. Antonio J. Font; Dr. Walter D. Ford; Dr. Henry E. Fraser; Dr. George E. Frothingham; Dr. Claude B. Gaines; Dr August E. Gehrke; Dr. Isaac S. Gellert; Dr. Wm. S. Gonne; Dr. John W. Gordon; Dr. James Gostanian; Dr. Raymond S. Goux; Dr. Wm. Gramley; Dr. Hunter L. Gregory; Dr. Thos. R. K. Gruber Dr. Samuel C. Gurney; Dr. E. W. Haass; Dr. Carl Hanna; Dr. Beverly D. Harison; Dr. Winfred B. Harm; Dr. Albert E. Harris; Dr. Earl R. Harris; Dr. John G. Harvey; Dr. James W. Hawkins; Dr. Austin W. Heine; Dr. Wm. Henderson; Dr. Preston M. Hickey; Dr. Louis J. Hirschman; Dr. Geo. Hoffmeister; Dr. Arthur D. Holmes; Dr. Lawrence N. Host; Dr. Abraham W. Hudson; Dr. Harold S. Hulbert; Dr. Leroy W. Hull; Dr. Willard H. Hutchins; Dr. James W. Inches; Dr. Harry H. Jackson; Dr. Byron H. Jenne; Dr. Alpheus F. Jennings; Dr. Charles G. Jennings; Dr. Nathan J. Jessup; Dr. Morrell M. Jones; Dr. Ladislaus R. Kaminski; Dr. Zeno L. Kaminski; Dr. Wm. J. Kane; Dr. John F. Kelly; Dr. Johnston B. Kennedy; Dr. Wm. Y. Kennedy; Dr. Frederick C. Kidner; Dr. Edw. D. King; Dr. Paul A. Klebba; Dr. Geo. L. Koessler; Dr. Abraham Kovinsky; Dr. Albert H. Krohn; Dr. Duffield R. Kruger; Dr. Alfred D. La Ferte; Dr. Rudolph H. Lambert; Dr. Carl N. Larsen; Dr. Bror H. Larsson; Dr. A. F. J. Lecklider; Dr. Ernest C. Lee; Dr. Henry R. Leibinger; Dr. Daniel J. Leithauser; Dr. Alfred E. Lemon; Dr. Paul H. Lippold; Dr. Nelson MacArthur; Dr. Robert B. Macduff; Dr. Frank B. MacMullen; Dr. Otis B. Mallow; Dr. Vincent S. Mancuso; Dr. Walter W.

Book Reviews

SURGICAL TREATMENT. A Practical Treatise on the Ther.

apy of Surgical Diseases for the use of Practitioners and Students of Surgery. By James Peter Warbasse, M.D., forinerly attending surgeon to the Methodist Episcopal Hospital, Brooklyn, N. Y. In 3 large octavo volumes, and separate Desk Index Volume, Volume II contains 829 pages with 761 illustrations. Philadelphia and London: W. B. Saunders Company. 1918. Per set (three volumes and the index volume); cloth, $30.00.

Volume two carries out the systematic effort at simplicity of volume one. The author has succeeded well in including up to date proceedures. He has also added a valuable work on regional technic to the library of the surgeon. Some of the illustrations as might be expected are rather diagromatic, but for the younger surgeon and surgical student this is probably an advantage rather than otherwise.

Manton; Dr. Thos. B. Marsden; Dr. Robert M. Martin; Dr. James D. Matthews; Dr. Kenneth F. Maxey; Dr. Emil V. Mayer; Dr. Willard D. Mayer; Dr. Frederick McAfee; Dr. Arthur McArthur; Dr. James H. McCall; Dr. Wm. R. McClure; Dr. Carey P. McCord; Dr. Crawford W. McCormick; Dr. Theodore A. McGraw, Jr.; Dr. George E. McKean; Dr. Angus McLean; Dr. H. O. McMahon; Dr. Charles H. Merrill; Dr. Ellsworth P. Mills; Dr. Robert C. Moehlig; Dr. Stephen G. Mollica; Dr. Harold L. Morris; Dr. Walter Muellenhagen; Dr. Charles R. Mueller, Jr.; Dr. Thos. F. Mullen; Dr. Arthur J. Neumann; Dr Frederick H. Newberry; Dr. Arthur W. Newitt; Dr. Harry J. Noble; Dr. Ralph A. Norris; Dr. Wm. A. O'Brien; Dr. Harold F. Ohrt; Dr. Geo. V. Oill; Dr. Robert W. G. Owen; Dr. Leon E. Pangburn; Dr. W. R. Parker; Dr. G. C. Penberthy; Dr. O. W. Pickard; Dr. Lyman J. Pinney; Dr George E. Potter; Dr, Presley L. Pound; Dr. Wm: H. Price; Dr. Wynand V. Pyle; Dr. O. M. Randall; Dr. Claude B. Ray; Dr. Harry W. Reed; Dr. Heinrich A. Reye; Dr. James M. Robb; Dr. Paul C. Rohde; Dr. Herman H. Runo; Dr. Frank L. Ryerson; Dr. Homer E. Safford; Dr. Wm. G. Schlegelmilch; Dr. Harry B. Schmidt; Dr. Ernest C. Schultz; Dr. James B. Seeley; Dr. Ward F. Seeley; Dr. A. M. Shafer; Dr. Reed A. Shankwiler; Dr. Lyle O. Shaw; Dr. Harold K. Shawan; Dr. Wm. L. Sherman; Dr. Burt R. Shurley; Dr. Arthur R. Smeck; Dr. A. L. Smith; Dr. Clarence V. Smith; Dr. Eugene Smith, Jr.; Dr. Frank H. Smith; Dr. Frederick J. Smith; Dr. T. H. Smith; Dr. Clarence Stefanski; Dr. Frank T. F. Stephenson; Dr. Alexander M. Stirling; Dr. Lindley H. Siout; Dr. Luther H. Stout; Dr. Frank Suggs; Dr. Hugh A. Sullivan; Dr. Angus P. Sutherland; Dr. Rolfe Tainter; Dr. Griffith A. Thomas; Dr. Arthur R. Timme; Dr. Charles L. Tomsu; Dr. Harry N. Torrey; Dr. Emmett C. Troxell; Dr. Arthur Turner; Dr. Clyde R. Van Gundy; Dr. James A. Van Horne; Dr. George Van Rhee; Dr. Colin C. Vardan; Dr. John W. Vaughan; Dr. Victor C. Vaughan, Jr.; Dr. Milton D. Vokes; Dr. Frank B. Walker; Dr. Jos. A. Wall; Dr. Charles R. Walsh; Dr. Frank N. Wilson; Dr. George W. Wilson; Dr. Robert A. Wollenberg; Dr. Grover C. Wood; Dr. Harry B. Yoh; Dr. John C. Young, Detroit. Joseph H. Chance, Eloise; Dr. Robert H. Carmichael, Hamtramck; Dr. Martin W. Caveney, Highland Park; Dr. Geo. S. Foden, Highland Park; Dr Richard H. Juers, Highland Park; Dr. Thomas B. Henry, Northville; Dr. Lewis N. Tupper, Redford; Dr. Roy Du B. Tupper, Redford; Dr. Howard B. Kinyon. Trenton; Dr. Romeo H. Earle, Wayne; Dr. Glen L. Coan, Wyandotte; Dr. Wm. H. Homer, Wyandotte; Dr. Joseph G. Knapp, Wyandotte; Dr. John N. Bell, Detroit.

THE SURGICAL CLINICS OF CHICAGO. Volume 2, Number

6, October, 1918, Octavo of 193 pages with 87 illustrations, Published bi-monthly by The W. B. Saunders Company, Philadelphia and London.

This number gives many helpful suggestions to the general practitioner and specialist. The Presbyterian Hospital Clinics contain some

rare and many common surgical cases. "The clinical problems relating to the fancial Tonsils,” by Shambaugh shows a conservative point at times and at other times a radical point. The tonsil will always be a disputed ground and must depend upon the specialist himself. It has been handled so nicely that the doctor should be congratulated.

The case reports of “Plaster Face," and "Reconstruction of Ears and Nose” are very interesting as so much reconstructive work will have to be done as a result of the war. These cases will form an incentive to follow methods therein advised with variations according to circumstances while remembering suggestions herein made.

The simple operation of Perineorrhaphy is very suggestive of good results. Fracture cases are ever with us but the cases of Dr. A. J. Ochsner are very interesting. Dr. Charles M. McKenna's “A Clinic on Genito-Urinary Surgery” is of special interest. Dr. Bernstein's clinics and case reports are extřemely important and deserve congratulations, as they are of everyday findings.

THE MEDICAL CLINICS OF NORTH AMERICA. September.

1918, U, S. Army Number, Volume 2, Number 2. Published Bi-Monthly by The W. B. Saunders Company, Philadelphia and London.

This volume is replete with research work of the base army hospital on diseases of the respiratory apparatus, tachycardia complications, measles, mumps, and post operative pneumonias. The study of the epidemics at Camp Zachary Taylor has been attended by such thoroughness and details that the busy practitioner can gain only valuable information. So also in regard to the streptococcal pneumonias of the army camps. To appreciate the functions of a base hospital one must either be a resident of the same in the care of the sick and wounded and in the prevention of disease or have it explained and the reason therefor as given by Dr. Frothingham. Each cantonment having their own particular form and although varying, the ultimate good is the same. The results of the cardiovascular boards,

their team work, their early recognition of tachycardia, and their divisions for acceptance and rejection makes by condensation a work finished in itself. In the study of cerebro spinal meningitis on account of the great number of cases that have developed at the cantonment, a conception of causation has been established. The report of Lieut. Morris H. Kohn goes into detail in the discussion of Paroxysmal Tachycardia. All of these keep up the high standards of the North American Clinics.

by Laboratory Methods. By F. B. Mallory, M.D., Associate Professor of Pathology, Harvard Medical School; and J. B. Wright, M.D., Pathologist to the Massachusetts General Hospital. Seventh edition, revised and enlarged. Octavo of 535 pages with 181 illustrations. Philadelphia and London: W. B. Saunders Company, 1918. Cloth $3.75.

This very useful little book comes out in a somewhat condensed and rearranged form. The chapter on autopsy technic is made the last instead of the first, the work beginning with the laboratory examination of tissue followed by the methods of bacterial work. The material is brought down to date by very few additions among which, Good pastures Acid polychrome Methylene Blue method for staining frozen sections, Benians Congo red method for spirochetes, Claudius stain for flagellae, and the method of classifying pneumonia, deserve special mention. Altogether the work sustains its reputation as one of the laboratory workers most useful reference books, and will be a very great aid to all practitioners who do any laboratory work.

MANUAL OF OTOLOGY. By G. Bacon, A.B., M.D.. F.A.C.S.,

fornierly Professor of Otology, College of Physicians and Surgeons. Columbia University; Aural Surgeon, New York Ear and Eye Infirmary, etc.: and Truman L. Saunders, A.B., M.D., Assistant Professor of Laryngology and Otology, Col. lege of Physicians and Surgeons; Assistant Surgeon Bellevue Hospital, etc. New 7th edition, cloth, $3.00;

583 pages with 204 illustrations. Lea & Febiger, New York and Philadelphia.

This new edition is as it always has been-a distinct value to the busy practitioner and student and a reference to the specialist. The chapter devoted to the adenoids and labyrinth has been revised by T. Saunders.

A ILLITBOOK OF COLLOID-CHEMISTRY. By Dr. Wolfgang

Ostwaldl. Privatdozent in the University of Leipzig. Second Fnglish Edition, translated from the Third German Edition hr Dr. Martin H. Fischer, Professor of Physiology in the I'niversity of Cincinnati, with numerous notes added by Finil Hatschek Cans Institute, London; 284 pages and 63 111'-strations. Philadelphia: P. Blakiston's Son & Co, Price $3.50.

The Handbook of Colloid-Chemistry by Dr. Wolfgang Ostwald and Dr. Martin Fischer, deserves special mention as to its excellent merits.

The book explains scientific work of a high order yet written in such form as to be readily understood.

Especially interesting is the chapter of Bronnian movement and that Osmosis of Colloid systems. One is well repaid in reading of the latest advances made in the study of Colloid solutions.

SU'RGERY IN WAR. By Alfred J. Hull, F.A.C.S., Lieut.

Colonel Royal Army Medical Corps; Surgeon, British Ex. peditionary Force. France. Late Lecturer on Surgical Pathol. ogy. Royal Army Medical College, Millbank: and Surgeon. Queen Alexandra Military Hospital. Second edition revised. 210 illustrations, 800, XV + 624 pages. Cloth, $6.00. P. Blakiston's Son & Co., Philadelphia, Pa.

A preface by Lieut.-Gen. T. H. J. C. Goodwin, C.B., C.M.G., D.D.O., Director General Army Medical Service, Great Britain.

A preface by the author and an introduction by E. M. Pilcher.

Contributors on a variety of phases of war surgery supplement the authors views and experiences.

The book is well written. The prefaces and introduction indicate the spirit and purpose of the volume i. e. to give a concise treatise and a practical working knowledge of the new methods and procedures which are bound to supplant many of the older methods of practice in war and industrial surgery.

The illustrations are unusually enlightening, particularly those demonstrating the application of splints and treatment of bone injuries.

The contributions on the Carrell Dakin treatment of infected wounds, on microbic infection, bone iniuries, gun shot wounds of chest and abdomen, brain and spine injuries and injuries to blood vessels and nerves will make this a very useful book not only for army surgeons but for those engaged in industrial surgery.

A TEXTPOOK OF GENERAL BACTERIOLOGY. By Edwin

0. Jordan. Ph.D. Fully illnstrated, Sixth Edition, thorough. Je revieeil. Philadelphia: W. B. Saunders Company, 1918. Price $3.75.

The book on “General Bacteriology” by Edwin 0. Tordan, published by W. B. Saunders Co. needs no introduction to the western reader of Bacteriology. Its chief merit is its brevity on the less important chapters. The chapters on pneumococcus and meningococcus together with the new data on trench fever, infectious jaundice and rathite fever are especially valuable. Not only the Bacteriologist hut the general scientific student should add this book to his library.

Cloth. Price

MANTAL OF GYNECOLOGY. By J. C. Hirst, M.D., Asso

ciate in Obstetrics, I'niversity of Pennsylvania. $2.30. 466 pages with 175 illustrations. Philadelphia: W. B. Saunders Co., 1918.

The aim of the author in this revision was to cut out all nonessentials which go to fill so many manuals, and to present to the student what is possible in this condensed form. The illustrations are very good. The newer methods that have been tested for the safety of the mother during pregnancy and labor have been clearly outlined and facts vital to obstetrics maintained.

PHYSIOLOGY IND BIOCHEMISTRY IN MODERN MED.

ICINE. By J. J. R. Macleod. M.B.. assisted by Roy G. Pearce. B.A., and by others. St. Louis: C. V. Mosby Co.. 1918; 903 pages with 233 illustrations including 11 plates in colors, 800, Cloth, $7.50.

The book “Physiology and Biochemistry in Modern Medicine" by Macleod, published by C. V. Moshy Co., is a book for which there is a distinct place in the medical man's library. It seems to have had for its aim the connecting of abstract diadactic laboratory knowledge with the data of the clinical investigator, helping him in the physiological interpretation of the diseased condition. With this aim in view it has wisely avoided the attempt of emphasizing the usual experimental physiology of first and second year which are more directly connected with special medicine, as physiology of nerve and muscle, special senses, and reproduction physiology. It has paid particular attention to the farreaching applications of the latest department of medical science, i. e. acidosis, goitre, nephritis, diabetes, and myxedema. It has also left out any extensive consideration of serum diagnosis which it recognises as a highly special science worthy of separate consideration. I think for the student who is about to enter his third and fourth year clinical work, this is an especially good book, and for the general practitioner who wishes to brush up on the physiological reason for clinical pathology.

PATHOLOGICAL TECHNIC. A practical Manual for workers

in Pathologic Histology & Bacteriology. Including Directions for the performance of Autopsies and for Clinical Diagoosis

The references to the outside literature consulted in preparing this work give the reader a feeling of confidence in the conclusions drawn and the text accepted.

a

А TEXT-BOOK OF PHYSIOLOGY: FOR MEDICAL STI'.

DENTS AND PHYSICIANS. By W. H. Howell, Ph.D., M.D., Professor of Physiology. Johns Hopkins University, Balti. miore. Seventh Edition Thoronghly Revised. Octavo of 1,059 pages. 307 illustrations. Philadelphia and London: W. B. Saunders Company. 1918. Cloth, $5.00 net.

The seventh edition of a work so well and favorably known appearing thirteen years after the first publication needs no discussion farther than to welcome and commend.

The division of the contents into sections together with a carefully aranged index, makes it a valuable work of reference as well as a text-book.

While it would be practically impossible to incorporate all the new material that diligent study and investigation have brought forth in the past three years, this work embodies all that is necessary to make it up-to-date, and covers it in a masterly manner.

A STUDY OF SEVENTY CASES OF CERE

BROSPINAL MENINGITIS. Seham in writing in Minnesota Medicine for October, 1918, as a result of this large experience gives the following advice:

In the premengitis stage, if the spinal fluid is clear, the serum may be used intramuscularly or intravenously, preferably the latter, but if signs of meningeal irritation have developed the intraspinal method alone, or combined with either of the two mentioned, must be used. Parke-Davis serum was used in the majority of his cases; in some Lederle, in a few Mulford, and in three chosen cases the serum from the Rockefeller Institute. The minimum number of injections to one patient was two, the largest number forty-four; the average number to each patient was seven. The general rule was to give the serum daily for five days, and then, if the fluid was clear, the general condition of the patient much improved, the serum was discontinued.

The dose of the serum has never been standardized, since we have no definite measure of potency. The average dose used for children was 15 Cc., providing that 15 Cc. or more of spinal fluid was removed at the same time. It is not safe to give more serum than spinal Auid withdrawn. In adults 30 Cc. was usually given, and in several instances, where excessively large amounts of fluid were withdrawn, 45 Cc. of serum was given. There is too great danger in giving a large dose at one time of causing undue pressure. If a dry tap was obtained, or only a few drops of spinal Auid, between 5 and 10 Cc. of serum was given. The administration of serum must be considered a major operation. The patient must be watched very closely for signs of collapse. Sophian's method of accurately recording the spinal pressure during the giving of serum must be a very safe procedure, even though it is not considered practical by all authorities. He was not in a position to use this method, because of the very large number of patients and the lack of assistance. The respirations, especially, should be watched, and at the first sign of collapse either camphorated oil or cocaine and atropine should be given hypodermically, and if respiration stops, artificial resuscitation should be employed. Also, at the same time, the tube containing the serum should be lowered, in order to allow the serum and the spinal fluid to flow out. Six of the patients showed such collapse, and these occurred before the gravity method was instituted. At first the syringe apparatus was used entirely; the fluid was directly injected with a syringe. but a death resulted with this method, and the so-called “gravity method" was used entirely thereafter. Very frequently the patient complained of severe pains in the back, legs, and head, sometimes at the beginning of the injection, but usually after. This pain is very severe and may persist for some time.

Warm serum has been recommended to lessen the pain, but it possessed no definite value.

The so-called "water anesthesia," allowing the patient to suck water through a tube while the cerum is being administered, is recommended by Sophian. The pain is, at times so severe that the patient's attention cannot be diverted, and again, the patient may be semicomatose; Seham did not find this method valuable. He used no anesthetic whatsoever, except in one case, in which laughing

PRINCIPLES AND PRACTICE OF OBSTETRICS. By Joseph

B. Delee, A.M., M.D.. Professor of Obstetrics at the Northwestern University Medical School. Third Edition, thoroughly revised. Large octavo of 1.089 pages, with 949 illustrations 187 of them in colors, Philadelphia and London: W. B. Saunders Company, 1918. Cloth, $8.50 net.

The more experienced the obstetrician the more thoroughly will be his accord with the teachings of this book. A scholarly and well written treatise gotten up in the easily readable manner with the well chosen topic heads and with the beautiful and instructive illustrations it is a very valuable textbook and ready reference.

The author as well as publishers are to be congratulated.

A text-book on Tumors.

NEOPLASTIC DISEASES.

By James Ewing, M.D., Sc.D., Professor of Pathology at Cornell University Medical College. New York City. Octavo of 1.027 pages with 479 illustrations, Philadelphia and London: W. B. Saunders Company, 1919. Cloth $10.00 net.

An analysis of so great a storehouse of observation and theoretical consideration is not possible within the limits of a review article. Chapters II and III dealing with the definition, classification, general pathology and malignancy and its effect on the organism, is a masterly review of the knowledge on this subject and should be recommended as a valuable work of reference.

The detailed description of the various neoplasms is written in a manner that gives evidence of a profound knowledge of the subject and a wide and sound clinical experience.

This important volume should be in the library of every physician.

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