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COMING MEETINGS.

THE REVIEWER'S TABLE American Medical Association, Boston,

Books, Reprints, and Instruments for this department, should

be sent to the Editors, St. Louis. June 5-8. American Climatological Association, At.

MANUAL OF OPERATIVE SURGERY. By John Fairlantic City, N.J., May 12-14.

bairn Birnie, A M., C. M. (Aberdeen), Professor Kansas American Association of Physicians, Wash.

State University, Kansas City. Second edition, revised and

enlarged; with 567 illustrations, a ington, D.C., May 15-16.

printed in colors. Philadelphia: P. BLAKISTON'S SONS

& CO., 1012 Walnut street. Missouri State Medical Association, Jeffer.

This valuable little book on Surgery conson City, May 15-16.

tains much useful first information. For the Iowa State Medical Society, Des Moines,

student it embruces everything necessary from May 16-18. North Dakota State Medical Association,

minor details of sterilization to major work

in gastric surgery. For the surgeon it is useFargo, May 16-17.

ful as a reference book, for in it we find many New Hampshire Medical Society, Concord,

points of information that cannot be found May 17-18. American Association of Pathologists and

in larger works. Its text is beautifully

written, while its illustrations include works Bacteriologists, Baltimore, May 18-19. American Gynecological Society, Hot

of experts. Of special importance is its arti. cle on plastic surgery:

Here we find in a Springs, Va., May 22. Illinois State Medical Society, Springfield,

concise way the various incisions in the

cure of facial deformities. The article on May 15-17. (Note change of time back to date originally planned).

hernias is complete and instructing. Much

value is drawn from the illustrations and Connecticut State Medical Society, New

teachings of the Mayos. The reviewer reHaven, May 23-24. Indiana State Medical Association, Win

gards this work in a class of its own and

would not feel content with bis library if it ona Lake, May 23-25. Michigan State Medical Society, Jackson,

were not included in it. The author deserves May 23-25.

much praise for placing this edition be. Medical Society of State of North Carolina,

fore the surgical public, and the publishers Charlotte, May 29-31.

should be given mucb credit for its neat Rhode Island Medical Society, Providence, compilation and publication. May 31.

J. M. D. American Dermatological Association, Cleveland, May 30-June 1. American Pediatric Society, Atlantic City,

GOLDEN RULES OF SURGERY. Aphorisms, Observations

and Reflections on the Science and Art of Surgery Being May 30-June 1.

a Guide for Surgeons and those who would become SurAmerican Surgical Association, Cleveland,

By Augustus Charles Bernays, A.M., M.D., Ddlbg.,

M.R.C.S , Eng St. Louis, Mo. St. Louis: The C. V. Mosby May 30-June 1.

Medical Book Co. Price, $2.50. American Laryngological Association, Ni. Aphorisms bright and well founded make agara Falls, May 31-June 2.

up a large part of this book.

These appeal American Association of Genito-Urinary to the reviewer as predigested and merit not Surgeons, New York, June 1-2.

only earnest study, but should be instilled or American Academy of Medicine, Boston, one may better say, injected into the intellect June 2-4.

of the student in such a way as to be thorAmerican Association of Life Insurance oughly absorbed and understood. Examining Surgeons, Boston, June 4.

Aside from the real worth of this little book American Gastro-Enterological Associa- . from a scientific standpoint the reviewer has tion, Boston, June 4-5.

experienced a pleasant evening in its review, American Urological Association, Boston, for its lines flow along in an unusualiy classic June 4-5.

manner, and can therefore be not only com. American Proctologic Society, Boston, inended for its surgical teachings, but as well June 5-6.

for its literary composition. American Medico-Psychological Society, In the review of this work the writer can Boston, June 12-15.

find much that is written "between the Massachusetts Medical Society, Boston, lines," and can comprehend how space and June 12-13.

time have prevented the author from further Maine Medical Association, Portland, June developing many nuclear sparks of scientific 13-15.

surgery contained in its brief lines. This Minnesota

State

Medical Association, little volume born with the idea on the part Minneapolis, June 20.

of the author to impart to the embryonic surWest Virginia State Medical Association, geon many golden rules and ideas deduced Webster Springs, June 20-22.

from an experience of thirty years of success

MEDICAL GUIDES ANE MONOGRAPHS SERIES.

geons.

ful surgical practice, is an evidence of scien- nationale Pour L'Assistance Des Alienestitio upselfisbness. It is a fact wuch to be A Milan Railway Inhumanity-The Hazing deplored that this work and other similar ones Neuropath and College Circumspectionwere not written sooner, so as to enable those Automobile Delusion--Le Progres Medical, already engaged in surgical work to adopt its Number Four, November 14, 1905- Psycho. teachings. The author after much considera- pathy in the Sanctuary-The Surplus Funds tion and study coins the term "tiesne unrest" in the Treasury of the A. M. A.-The as a substitute for inflammation. Inflamma. MoNaughton Case-Marriages by the Insane tion as a term to designate the tissue unrest -Lay Evidence as to Insanity-Philan. or resisting processes that have its cardinal thropy and Applied Science- An Unjust symptoms heat, pain, redness and swelling, Judgment Against a Physician-The Crimes is according to the author obsolete, unreason- of Fatal Euthanasia-Personal Commendaable and meaningless. Would that the au- tion of a worthy Medical Insane Superinten. thor should have thus attacked the appendix dent-Schoolboy Truant, but cannot Help it. "itis” as generally employed to denote vari. Also a large number of Selections, Reviews, ous inflammations and relegated to the things Book Notices, etc. Sample copy free on that were but that are not at present.

request. Subscription, $5 per annum in adThe author has with much respect dedica- vance. Address L. H. Hughes, manager,3872 ted bis work to Dr. Chas Mayu, and has con- Washington Boulevard, St. Louis, Mo. ferred an honor upon him, to whom much honor and praise is rightfully due.

D.

In.cough due to pregnancy Dr. Jewitt

gives sedatives, such as a pill of palerinate of MAN AND AIS POISONS. A Physical Exposition of iron, quinine and zinc after meals; or can. the Causes, Symptoms and Treatment of Self-Poisoning by nabis indica or bromides. Albert Abrams. A.M., M.D., Consulting Physician Denver National Hospital for Consumptives. The Mt. Zion and French Hospitals, San Francisco ; President of the Emman- REFLEX LIGHT FROM AFRICA," a discusuel Sisterhood Polyclinic : formerly Professor of Pathology and Director of the Medical Clinic, Cooper Medical College,

sion of the nergo problem in America in the San Francisco. Ilustrated. New York : E. B. Treat & Co. (Price $1.50.)

light of conditions in Africa, to appear in the This well known author, has by his original May Century from the pen of Mr. Charles and painstaking clinical research, made for

Francis Adams, promises stirring reading. himself a permanunt place in medical litera

It is known that Mr. Adams, after careful ture, and this work, adds to his deserving study of the black in Africa, believes that the

, position as a scientist, clinician and teacher. nergo is essentially and hopelessly inferior to In this original review of man and his

the wbite man; that white and black cannot poisons he discusses the relations of poisons

flourish together under the same sytsem of to disease, fatigue and general nervous insta

government; and that the only solution for bility. Of especial interest and value is the

the United States of the problem of its relafull discussion of perverted metabolism in its

tions with San Domingo, Cuba and the relations to disease, and by careful elabora

Philippines is to establish an up-to-date, detion he has established a working basis,

pendent people policy. Mr. Adams will set which is of great value to physicians in gen

forth fully his position and the findings in eral practice, and of special value to neurolo

Africa upon which he bases it-a position gists and alienists. We have been personally

sure to excite much lively discussion. very muob interested in the author's original THEORY AND PRACTICE.-Sydenham, some views regarding neurasthenia and to have the

250 years ago, reommended that young men supplementary work to reinforce those views, desirous of studying medicine should lay aside is of value. We congratulate the author on

their books and read Don Quiote! He bad his deserving success in this field of research.

a profound contempt for the book learning of F. P. N.

bis times. While he knew the current tbe.

ories, instead of trying to make them the THE ALIENIST AND NEUROLOGIST for May basis of his practice he relied mainly upon contains, among many others, the following: observation of the natural processes of the Mixoscopic Adolescent Survivals in Art, Lit. body and their various pormal and abnormal erature and Psuedo Ethics—Psychoencephalmanifestations. His aim was to aid Nature onasthenia or Cerebrasthenia Simplex and and to avoid harming her. Instead, therePsychoencephalonasthenia or Cerebrasthenia fore, of the complex remedies and prescrip. Insaniens Erotic Symbolism – Railway ticns of his times he gave simple remedies Brain Strain and Brain Strain Regulation and carefully watched their actions. of Railways—Legal Aspects of Epilepsy- studied his patients and left theorizing to The Errors of Lombroso on Moral Insanity others. And he was wonderfully successful. and Crime-Just a Sample-Congres Inter- -American Journal of Clinical Medicine.

He

REPORTS ON PROGRESS way much should be done in a preventive Comprising the Regular Contributions of the Fortnightly De- way. The etiology of carcinoma. is still as partment Staf. unknown today, as it has ever been.

Tbe possible parasitic origin of carcinoma is not SURGERY.

tenable according to Senn. He has inocu.

lated himself with carcinoma with the same JOHN MCHALE DEAN, M. D.

negative results that many have bad previ.

ously. Autoinoculation has shown negative The Surgical Treatment of Cancer of the results as well. It is essentially a local disStomach.- Wm. J. Mayo (Jour. A. M. A.) ease of embryonio or postnatal epithelial graphically describes the treatment of cancer causation. Heredity influence has been of stomach. The author begins his article found in statistics to the extent of 12 to 33% with truthful and bold statement that no au. till predisposition or aptitude for carcinoma thentic case of cancer of the stomach was ever may be transmitted from generation to gen. cured by medicine. Would that this state- eration as well as congenital deformities and ment will open the eyes of the practitioners physionomies have. It is most prevalent in to this conclusive fact, and convince them the aged, although the author has seen carcin. that cancer of the stomach is no medical dis- oma of the breast in a girl of 21 years and ease, but a strictly surgical one. The results rectal carcinoma in a girl of 17 years. The of the author's cases show a low mortality reviewer has seen a case of carcinoma of the of 5%. When we understand that cancer of stomach in a girl of 23 years. Carcinomas stomach means inevitable death, why not grow more rapidly in the young than in the give the unfortunate patient a chance for life old. When it occurs in the youth the case by opreation? The article is illustrated by more malignant than when it occurs in the artistic, clear drawings that are so instructing aged. Racial and social influences seem to that the valuable text is well understood. play some important role in its oocurrence. The patient operated on is given one-sixth of The yellow and black races as well as the a grain of morphia hypodermically one-half North American Indians seem little or not hour before the ether anesthesia is begun. all affected with carcinoma. Habits, customs An incision is made in the median line be- and manner of living predispose the more tween the urr. bilious and ensiform cartilage civilized nations to it. Strenuous life, worry small at first for exploratory purposes.

If and discontent often proedispose some to it. the case on account of extensive involvement Climate and topography have their peculiari. is found inoperable the incision is closed, ties about its prevalence. Rare in the exif not the incision is enlarged and the opera- treme North and South; rare in Central tion of resection begun. The stomach is Africa, South Sea islands, and Central Amerdrawn downwards and lesser curvature im- ioa, and almost unknown in New Guinea; mobilized, while the liver by an assistant is most frequent in temperate zones of Asia elevated. The coronary artery at suitable Europe and America. Alluvial soil favors point is doubly ligated, as well as the gastro- it, chalky or lime soils exercise an opposite epiploio dextră, gastroduodenal arteries. The influence. The reviewer offers a query at gastrobepatic and gastrocolic omentum is li. this juncture that probably these localities gated and incised. Clamps are applied to where it is not prevalent it is not seen or rocthe duodenuin and stomach, and the portion ognized. If it is uncommon among the igis removed. The gastric stump is closed with norant races could it not be possible that it through and through catgut using the C. H. has been less recognized and studied thera? Mayo stitch while the outer coat is sutured Meat diet some claim as favoring its developwith linen. The duodenal stump is either ment, but the author states it is very rare in closed and on independent gastrojejunostomy the Arctics where the native live exclusively performed, or if long enough is anastomosed on a meat diet. The author offers a possible with the stomach according to Kocber meth- explanation for its rurity here on account of od. Saline solution, according to the Mur. iodin contained in the food obtained from phy method, is used per rectum, and one to the sea animals. Habits of life is thought to ove-balf ounce of hot water allowed by stom. predispose to it as we often blame the clayach every hour after the sixteenth.

pipe for sublabial carcinoma, yet in Turkey,

Palestine, Algeria and Morocco, where toA Plea for the International Study of Car- bacco is extensively used by the natives carcinoma.- Nicholas Senn (Jour. A. M. A.) in cinoma of the lip or mouth is of rare occura paper read before the International Medi. cal Congress at Lisbon makes a plea for the That constant irritation produced by tointernational study of carcinoma. He avers

banco to the mucous membrane of mouth that while much has been done in a curative and tongue may predispose to is plausible.

rence.

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causes

Trauma evidently plays an important part,

Additional Observations on the Use of the and so important that it is often overlooked. Roentgen Rays in Dermatology.-Stelwagon Still trauma favors more the development of (Jour. Cut. Dis., March, 1906) gives an insarcoma than carcinoma. Often as the au- teresting and instructive résumé of his broad thor states the trauma merely calls the pby. experience with the X-ray, during the last sician's attention to its presence. Prolonged three years, in the article referred to. His conirritation from coupations, babits, malposi- clusions are, 1st, that a coil is more convenient tions, diseases of teeth and displaced organs and less liable to get out of order than a form some factors in its

factors in its development. statio machine, but is more dangerous in the Chronic inflammations or ulcerations have hands of the inexperienced, “or the experibeen repeatedly shown to antidate its occur. enced either.' 2d. That the vacuum of the rence. This has been so often demonstrated tube should rarely exceed at the most, that in regard to ulcer of the stomach developing equivalent to a three-inch spark, and between malignancy or of an ovarian tumor becom- one and two is best. 3d. He advises changing carcinomatous. Warts, “verruca senilis” ing the vacuum during a treatment, that is, have been shown to be the starting point of be begins an exposure at a vacuum equal to epitheliomas. Soar tissue and benign tumors about a one or two inch spark, and then disalso favor its development. The author con- connects the regulator, and allows the vacuum oludes with a strong plea for the study of to slowly rise during the exposure. He bethe cause of cancer. He urges the various lieves that the disease, in its varying depth, international scientists to work unitedly in can be better influenced in this manner. this direction, and to wander from the labor. This applies more especially in the treatment atory to study the etiology as well as the of epithelioma, and in other growtbs of some phases of the disease from the facts he bas depth or thickness. 4th. In the majority enunciated in his paper.

of cases, no improvement occurs until X-ray dermatitis (erythema, etc). has been excited. Excepting epithelioma and similar diseases,

however, it should not be purposely allowed DERMATOLOGY.

to go beyond the slightest possible erythema. ROBERT H. DAVIS, M. D.

(By following this procedure, he occasionally

a second degree burn, but finds the A Note on the Treatment of Simple Warts discomfort and disfigurement only temporby Internal Remedies.-Hall (British Jour- ary as a rule). Exceptionally, atrophic nal of Dermatology, March, 1906) reports an ohanges, such as thinning and wrinkling of interesting case of multiple warts cured by the skin, atrophic lines, and spots follow active daily purgation extending over two careful, and even njoderate use of the ray. months and a half. This treatment has been This he has observed in a few cases of acne brought forward before, some ascribing its treated, and in only one was it at all marked, virtues to epsom salts alone, but, in this case, and, in that case, the changes are slowly be. sulphate of magnesium failed to properly coming less marked.

coming less marked. These changes did not move the bowels, and had no effect on the develop until several months after the last warts. Aloin and nux vom., in pill form, cycle of exposures.

5tb. As to time of exgave the necessary relief, and the warts dis

posure, and distance of the tube, he recomappeared in two months and a half. They mends, in the first several seances, except in had been present for some years, and were the case of epithelioma and other malignant very numerous, 367 being on one hand and dermatoses, a distance of ten inches from the wrist only. (J. B. Cooper, in British Med. tube, and an exposure of three minutes. In Jour., August 26, 1905, reports oures of mul. epithelioma the duration of first exposures tiple warts by lime water taken internally. can be five minutes. In the milder dermaHe made the observation accidentally, on toses, six to eight inches in point of distance, himself, while taking lime water for some and ten minutes exposure should rarely be digestive disturbance for a period of ten days. exceeded, and these limits cautiously reached. At the end of two weeks, a wart on his thumb, In malignant dermatoses the limits can be that bad not yielded to local treatment, had more extreme, and much more boldly apentirely disappeared. He tested other cases proached, “the tube in obstinate cases almost with marked success. The time taken for the touching the surface, and the duration extotal disappearance of the wart varies from tended to fifteen or twenty minutes four days to six weeks. He advised the use of longer.' (It is almost needless to say that the remedy in wineglassful doses with a little such treatments as these last should be given milk added_to be taken after the mid-day only by a skilled operator, that the patient meal.- Per Review in Jour. Cutan. Diseases, should be under constant observation, and Feb., 1906.)

that the cases are desperate that require such

or an

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heroic measures. -Ed.) In changing from following, there was considerable disagreeope tube to another, in the same case, dura. ment over the statement that in acne tion should be lessened, and distance length. erythema must be produced in order to acened for the first two or three exposures, as complish a good result. The majority were different tubes may have different degrees of against the production of an erythema. action. 6th. The usual measures for protect- Duhring bad experienced alarming results in ing the patient, and operator should be taken. one case of psoriasis, when, without warning, 7th. As regards special diseases (a) epitheli- a violent reaction, with suppuration extendoma. "The best of all treatment is, first ing down to the subcutaneous connective tisenucleation, either by exoisión, curette, or Montgomery and Bronson had had excellent cauterization, as may seem most expedient sue, occurred in the patob under treatment. in the individual case, and the immediate, results in rosacea when the ray was used as supplementary action of the X-rays to the an adjunot to the usual constitutional and extent of probably five, or ten, or more, mod. local measures. erate exposures.

He thinks this plan would give the most rapid results, give the least Two Cases of Multiple Tumors of the Skin chance of recurrence, and be the least expen- in Negroes, Associated with Itching.–Schamsive, in the long run, to the patent. (Of berg and Hirschler (Jour. Cut. Dis., April, these conclusions there appears to be little 1906) report two unique and interesting cases doubt but most patients dread an operation, of a trouble reported in 1880 by Hardaway, and prefer the slower and less certain way. with no cases reported since until now. The Ed.) (b) lupus vulgaris. The action here lesions consist of nodules, varying in size is sometimes brilliant, but always slow, and from a pea to a small finger nail. They are cannot be predicted in a given case. (0) situated mostly on the extensor surfaces of Lupus erythematosus. Here it is only occa- the arms, on the dorsal surfaces of the hands sionally satisfactory. (d) Acne. Although and fingers, on the back and the extensor

) relapses after its use are less common than surfaces of the legs. The soles of the feet with other methods, bis conclusions are that were free in each case, and the palms in one, its use in acne should be extremely cau. the other exbibiting a single podule on the tious, and that it is probably best reserved thenar eminence. The nodules were for the obstinate and extensive cases. The sharply circumscribed, and showed best and quickest results are attainable only tendency to a coalescence. The skin between after the production of a mild erythema, and the lesions was normal in their cases, in the danger of subsequent atrophic changes, Hardaway's, there were thickened, pigmented as already mentioned, should be borne in plaques in the intervening skin. Hardaway's mind. Such changes may not occur for case showed also lesions on the palms and several months after exposures bave been dis- soles. The nodules are not painful or contined. It is not improbable, also, that a tender, and are firm to the touch, most of downy growth of hair is stimulated at times them distinctly elevated, and covered with a by the ray. So, in the obstinate cases, when somewhat horny epidermis. In each case, the the ray is employed, it should be used cau. nodules developed in the course of a few tiously, and in conjunction with the other weeks, and have never disappeared, remain. known methods of treatment. (e) Psoriasis.

e

ing, in one instance, more than fourteen Bere it should be used only for obstinate cases years. No new ones appeared after the first and large areas. (f) Eczema, only in ob- crop, but some of the early ones grew slowly. stinate, thickened areas, and rebellious, lo. The outbreak is attended by violent itobing calized forms, as, for example, persistent which is with difficulty controlled, and has eczema, of the hands, but here it should be been continuous since the onset, being much employed with great caution. (g) In sy- worse at sometimes, e.g., the menstrual cosis, be has had good results, but uses the period, than at others. In Hardaway's case, ray cautiously, and in conjunction with the some of the nodules were confluent, and the ordinary methods of treatment. (h) In ker. trcuble began in the form of "blisters, atosis of the palms, and localized hyperidro. which were followed by the development of sis he has obtained good results as have the tumors. In all the cases, the nodules remany others. (i) In ring worm of the scalp, curred after extirpation. Pathologically the results were very favorable, but the pas- there was a dilatation of the cutaneous blood tiles of Sabouraud and Noiré, for measuring vessels; cell infiltration chiefly in sharply

; the dosage were unreliable. He concludes circumscribed masses; proliferation of the with the advice that in non-malignant der- fixed, connective tissue elements; and the matoses, except in extremely obstinate cases formation of new, collagenous fibres. In the ray should be used more as an adjunot the larger tumors, there was more pronounced than as the sole remedy. In the discussion vascular dilatation, and an enormous over

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