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20, 1908, Dr. George H. Smith, aged 64 gust 2, 1908, Dr. Carl E. Waldeck, aged

years.

45 years.

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acter of the book, and the author's name is a sufficient guarantee of its reliability.

Nine years have elapsed since the last edition was published, so that a large number of remedies have been added to the list. Wherever practicable the name. and address of the manufacturer or agent is given under each article.

This publication is an absolutely indispensable supplement to the U. S. Pharmacopoeia, for the latter book fails to en

lighten us concerning the source and properties of many remedies which we are often desirous of prescribing. No practitioner should prescribe a remedy of whose ingredients he is ignorant, and "Newer Remedies" should be upon his desk where it can always be consulted.

REFERENCE AND DOSE BOOK. By C.

Henri Leonard, A.M., M.D., Emeritus Professor of Gynecology in the Detroit College of Medicine. New and enlarged edition; fortieth thousand. Cloth, limp sides, round corners, thin paper; 16m0, 145 pages. Price 75 cents. The Illustrated Medical Journal Co., publishers, Detroit, Mich.

The changes in the new edition of the U. S. Pharmacopoeia are given in this edition of "Leonard's Dose Book" in two groupings-one showing those of "Increased Strength," the other of "Decreased Strength," and the new doses for these changes. All the dose list has been carefully "proof-read" by several different readers so as to insure absolute accuracy in the (nearly) 4000 remedies. given. The U. S. Dispensatory has been

followed for medium and maximum dosage. The common name (in small type) is given after the drug name and dose. Besides this complete dose list, the book has numerous useful tables and a therapeutic index.

THE DIFFERENTIAL DIAGNOSIS OF PRIMARY AND SECONDARY SYPHILIS. By J. Philip Kanoky, M.D., Kansas City, Mo. Reprinted from Therapeutic Record,. January and February, 1908. RADIO-ACTIVE BATHS IN THE TREATMENT OF MALARIA. By E. N. Martin, Hot Springs, Ark. Reprinted from Transactions Mississippi State Medical Association.

This new edition has been printed on thin paper so as to make it adaptable for buggy case or "bag," the whole being only one-fourth of an inch thick and weighing only about three ounces. Its round corners and smooth linen covers also make it "easy carrying" in the pocket. With this little book at hand you need never be at a loss for accurate dosage (new or old style) of a remedy..

PAMPHLETS RECEIVED.

THE SUBMERGED TONSIL, WITH SPECIAL REFERENCE TO CERVICAL ADENITIS AND SYSTEMIC INFECTIONS. By Lee M. Hurd, M.D., New York. Reprinted from American Medicine, July, 1908.

FURTHER STUDIES IN THE TREATMENT OF TUBERCULOUS SINUSES, FISTULOUS TRACTS AND ABSCESS CAVITIES. By Emil G. Beck, M.D., Chicago. Reprinted from Illinois Medical Journal, July, 1908.

THE STUDY OF REFRACTION.

By Matthias Lancton Foster, M.D., New York. Reprinted from Annals of Ophthalmology, April, 1908.

IMPETIGO CONTAGIOSA. By R. L. Sutton, M.D., Kansas City, Mo. Reprinted from New York Medical Journal, August, 1908.

TREATMENT OF GASTRIC ULCER. By Theodorus Bailey, M.D., New York. Reprinted from American Medicine, March, 1908.

American Climatological AssociationThe twenty-fifth annual meeting, held in Boston June 9-10, 1908. Dr. Thomas Darlington, Commissioner of Health, New York city, read a paper on the "Causes of Mortality from Heart Disease in the United States." Publichealth officials have been compelled to take cognizance of the persistently in creasing death-rate from heart disease. Dr. Darlington has taken pains to ascertain the comparative mortality from heart disease and kidney disease for 1907 and that of 14 or 15 years previously, as observed in 26 cities of the United States and Canada. The increased mortality from heart disease was found to be general. Minneapolis, St. Paul, Milwaukee, Detroit, Buffalo, Boston, Lawrence, Portland (Maine), Concord, Providence, New York city, Philadelphia, St. Louis, Chicago, Cincinnati, Washington, Los Angeles, Denver, New Orleans and Nashville show an increase. In the latter case the increase in 15 years is about double. A slight decrease is noted in Montreal, Omaha, Atlanta, Macon, Ga., and in Honolulu; in the latter case there is an apparently remarkable increase in kidney

THE PRESENT PANDEMIC OF PLAGUE. BY Assistant Surgeon-General J. M. Eager, Treasury Department, Washington, D. C.

SOCIETY PROCEEDINGS.

disease. It was noted that the latter bears an important relation to diseases of the heart, and consequently many deaths due to kidney affections were formerly listed under the heading of heart disease. The general increase noted in the United States cannot be dependent on climatic conditions; nor are the infectious diseases responsible. Dr. Darlington believes the cause lies in a temperamental strain accompanying the so-called "American spirit of progress," in high pressure work in school and in athletic sports. The effect produced by high-strung nervous tension induced by modern methods of social and business competition must be regarded as a causative factor in the production of functional and ultimately organic cardiac disease.

The medical profession has before it an opportunity of great vital moment in teaching the doctrine of right living, advocating a saner and more wholesome attitude toward life and standing as a unit against the false standards of material gain and advancement obtained by the sacrifice of the normal, healthful and peaceful attribute of calm mental poise, equable temperament and well-being. Equanimity is

the need of the times and the need of the people.

should expect in the country much less cardiac disease. In talking with the essayist earlier in the day upon this point he expressed what seems to me to be true, that even in the rural population there is a strenuosity of life from the conditions of outdoor work which we have failed to recognize. I am inclined to sum the whole thing up under the term, the great strenuosity of modern life, the tremendous rush and hustle that men are engaged in, this combined with our luxurious mode of living as shown in many ways. I believe in this connection we must consider the great excess of proteins in our diet, since there is no nation in the world, probably, except Great Britain, which consumes such a large amount of meat out of proportion to other diet as do the people of the United States.

The close connection between kidney and heart disease is yet, perhaps, hardly strange when we now recognize that chronic Bright's disease is not a disease of the kidneys per se-it is a disease of the entire cardiovascular system, and in one case the kidney is that organ which shows the chief effects of the degenerative process, and in the other it is the heart. These various facts, together with the improved methods of diagnosis, must account for the great increase in heart disease, and make it plain that we cannot fix upon any special or definite causes. It is the whole complexness of modern conditions which accounts for it.

DISCUSSION.

Dr. R. H. Babcock: I think we owe Dr. Darlington a great debt of gratitude for his painstaking efforts in collecting and tabulating his statistics. It is only deplorable that the results of his investigation could not lead to some definite facts concerning the causes of cardiac disease. That there is an increase in cardiac disease I think we all recognize, and, to my mind, particularly of myocardial disease. Why this is, or rather the causes thereof, are very complex, and for that reason difficult to state. I was particularly impressed with two or three points in the paper. First, that he could gather no facts concerning the relationship between infectious disease as exemplified by influenza and cardiac disease. This, perhaps, is not strange, for the reason that if a patient dies from the effect of influenza on the heart the disease is classified as influenza, and not cardiac disease. Again, it is well known that the disastrous effects of influenza upon the heartmuscle may first manifest themselves years later. At the time there was an acute myocarditis, perchance, and yet it was the starting point of a chronic myocarditis. If we inquire into the history of patients presenting arteriosclerosis we are struck by the frequency with which they give the history of some previous

infection.

Another point which impressed me, and which surprises me greatly, was the fact that there was such an increase of heart and kidney diseases among the rural population. I had thought it was the strenuous city life which accounted for the great increase in cities, and that we

Dr. Roland G. Curtin: I have been observing for the last 18 years that after every epidemic of influenza, no matter how light it may be, in about six weeks afterward there has been a goodly number of sudden deaths without apparent

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