TRICHOPATHOPHOBIA. By A. D. Mewborn, M.D., New York. Reprinted from Journal American Medical Association, January 4, 1908. By A. L. Reprint SARCOMA OF THE TESTICLE. Wolbarst, M.D., New York. ed from Journal American Medical Association, April 6, 1907. SOCIETY PROCEEDINGS. The New York Academy of Medicine SECTION ON GENITO-URINARY DISEASES. Stated meeting, November 20, 1907. "The Preparatory and After-Treatment of Genito-urinary Operations." Dr. L. Bolton Bangs said that his experience as a hospital surgeon, together with his observation in private practice, had forced him to the conviction that not enough time was usually given to preparation of the patient for operation. This did not apply to the many emergency cases which we were compelled to accept, and which, of course, were of necessity treated without preparation. Many cases came to the surgeon in a state of physical debility, either from intemperance, overwork or starvation, or all combined, whose prospects of speedy recovery could be vastly improved by sufficient and careful preparation for the contemplated operation. Among surgeons in the large city hospitals it was a common experience to observe the almost magical effect of a few weeks or days in the hospital upon these patients of degraded tissue, and even affer a short postoperative period we saw them go out with a richer quality of blood and with a cheerfulness of spirit which were in marked contrast to the bodily and mental conditions with which they entered. In genito-urinary, as in all departments of surgery, there were many simple operations which might be performed without any special consideration of the patient's con- dition, but it should be remembered that the patient's excretion of urine was a paramount function, and that the vital function of reproduction affected certain activities of the brain, spinal cord and heart. Hence, the relations between the different organs essential to these functions and between them and the general organism were so intimate and so important that every means should be taken to prevent any interference with these relations. Any local inflammation, no matter how mild, should first be subdued. These same principles should be applied when the ligation of a varicocele or excision of a hydrocele or castration was to be undertaken. Too often we performed these without any preparatory treatment, and with very little consideration of the patient's other conditions. Operations upon the urethra should always be preceded by careful preparatory treatment, particularly in the cases of stricture. In these cases, too, the post-operative treatsaid that in his opinion the so-called ment was most important. Dr. Bangs "urethral splint," meaning a catheter. through the whole length of the anterior. urethra and fastened in place, was uncalled for after stricture operations. It was an irritant which not only provoked erections, but must of necessity interfere with the healing process. Too frequent instrumentation after an operation on the urethra was another form of irritant. In operations on the bladder and prostate, preparatory, as well as after-treatment, was most important. Nitrate of silver was one of the most useful of bladder disinfectants, but it must be in mild solution and used judiciously. Strong irrigating solutions, and especially nitrate of silver, were contraindicated in cases of suspected stone in the bladder. In such cases, absolute repose in bed and the gen tle use of weak antiseptics, like boric acid, would soon modify the symptoms so that a positive diagnosis might be made. Operations upon the kidneys were always of such vital importance to the patient that good judgment must be used in the application of these general principles. Exclusive of emergency cases, in which delay might be dangerous, especially in cases of anuria, preparatory treatment was very important.-Medical Record. MISCELLANY. A system whereby Infant Feeding. physicians may apply the principles of dietetics in infant feeding in given percentages without the necessity of making calculations will appeal at once to the mind of the practitioner as most valuable, and, therefore, desirable. Such is the achievement of the comprehensive booklet issued by the Mellin's Food Co. and gratuitously presented to practitioners interested more particularly in this branch. This method of percentage feeding is claimed by the manufacturers of Mellin's Food to be an original work, the formulas and analyses having been made in their own laboratory by the company's chemists. The ever-advancing interest in the science of infant feeding calls for just such progressive and exhaustive investigation as is set forth in the formulas, tables and analyses comprising the work, which has required nearly four years in preparation. The comprehensiveness of the plan may best be judged from a few section headings from the table of contents, such as: "How to Change Percentage of Constituents When Composition Is Known," "How to Change Percentage of Constituents When Composition Is Unknown," "Calorie-Fuel Value," "For mula Index," "Preparation of Creams, Top Milks and Bottom Milks from Bottled Milk," "Table for Preparing Creams and Top Milks from Market' Milk as Delivered to Consumers in Quart Bottles," "Containers to be Used for Setting Milk" (illustrated), "How to Prepare Whey," and other valuable deductions. The work comprises 184 pages, printed on toned book paper and bound in green cloth, stamped in gold. It is well worth. a place in the physician's library as a valuable guide and instructor in this important phase of practice. The Composition of the Abderhalden, Schit- physiol. Chemie, Vol. 47, 1907). The casein of goats' milk was found to possess the same amiro-acids in approximately the same amounts as the casein of cows' milk. The authors caution, however, against the drawing of comparisons between these two proteids upon the basis of the findings. The quantity of tyrosin, as determined in the casein of mother's milk, amounts to 4.7 per cent., whereas cows' milk casein contains 4.5 per cent. and goats' milk casein 4.95 per cent. of tyrosin. F. R. 1 INDEX MEDICUS. KEY TO MEDICAL PERIODICALS. PRICES OF FOREIGN JOURNALS DO NOT INCLUDE POSTAGE. 18b Annales de Chirurgie et d'Orthopédie. 18c Annales de Médecine et Chirurgie In- 18d Annales des Maladies de l'Oreille, etc. 18e Annales d'Oculistique. Paris. M., $6— 18f Annales de Dermatologie et Syphili- 18h Annali di Ottalmologia. Pavia. Bi-m., 18i Annales de l'Institut Pasteur. Paris. 18k Annales des Maladies des Organes Gé- 19 21 Annals of Ophthalmology. 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