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Cross, as well as much miscellaneous information, as, for
example, on the Beat Mode of Preparing Microscopic EyeSpecimens by Mr. Devereux Marshall, the Varieties and
Degrees of Colour-blindness by Dr. Edridge-Green, and anaccount of a model illustrating Tscherning’s theory of
accommodation. Altogether it must be regarded as a verywell edited volume.
LIBRARY TABLE.
A Practical Tttreatisc on Materia Medica and Therapeutics. (
By ROBERTS BARTHOLOW, M.A., M.D., Professor Emeritus of Materia Medica, General Therapeutics, and Hygiene inthe Jefferson Medical College of Philadelphia. Ninthedition. London : H. K. Lewis. 1898. Pp. 866. Price21s.-That a medical work should have reached a ninthedition is sufficient proof that its author has succeeded inhis endeavour to supply a book which shall meet the require-ments of students of medicine of all grades. We need nottherefore enter into the general merits of the present volume.In preparing this edition it has been found necessary to
enlarge the work by forty-five pages. Additions and altera-tions have been made at all points to dispose of the newmaterial which has accumulated by the observations madeon the action of various drugs. Especially is this the casein reference to synthetical remedies which organic chemistryhas produced and is producing in increasing numbers. Good
descriptions of such substances will be found scattered
through the work. The book, as usual, is well brought out,the general arrangement, indices, and style of printing beingall that could be desired.
Climactic Treatment in Grand Canary. By BRIAN
MELLAND, M.Sc.Vict., M.B.Lond. London and Manchester:John Heywood. 1897. Pp. 40.-The experience gained byupwards of seven years’ medical practice in Las Palmas, thechief town of Grand Canary, has convinced the author thatthe climate of the island is an ideal one for the treatmentof early pulmonary phthisis-that is, when there is consoli-dation but cavities have not yet formed. The island is verymountainous, rising in the centre (which is only eighteenmiles from the coast) to a height of more than
6000 feet, and it is the rainless summer climate at an
elevation of from 1300 ft. to 3000 ft. which he speciallyrecommends for phthisical patients. In Teneriffe, whichlies some fifty miles westward, there is considerably morerain in the course of the year than in Grand Canary.Ample information as to the means of reaching the islandand the’places to stay at when there will be found in thislittle book.
Mother, Baby, and Nursery.. a Manual for Mothers. ByGENEVIEVE TUCKER, M.D. London : T. Fisher Unwin.1897. Price 3s. 6d. - This little book has been writtenas a guide to mothers, particularly young and inexperiencedones. "It is not intended in any measure to take the
place of a physician, but rather to aid the physicianin teaching the mother to care properly for her babewhen well that she may better nurse it when sick." We do
not quite see how a description of tying the cord at birthwill be particularly useful to the mother, but if it is to be
mentioned the description should be clear. Here after
saying "the cord is tied and severed," &o., we read abouthalf a page further on that I in the meantime the cord has
ceased to pulsate and is ready to be ligatured with a strongwhite string of coarse thread." From which the inexperiencedyoung mother would probably understand that the cord hasto be cut twice. There is a great deal of good advice, espe-cially as to feeding, in the book, but more details as to simplemeasures would have been desirable in describing the treat-ment of infantile constipation which is often a cause oftrouble and anxiety to young mothers. The author affectswhat may be called the nursery style of writing ; thus we
find a good deal about the little stranger " and eachchapter is headed by a few lines of poetry more or less appro.priate, or otherwise, such as-
Like genders like; potatoes ’taters breed;Uncostly cabbages come from cabbage seed."
A curious feature of the book is the bewildering numberof pictures of babies, sometimes four on a page, so that itwould not be amiss to say that the book consists largelyof well-worn (though useful) platitudes with illustrationsof babies in photographic attitudes. But doubtless the bookwill be useful to those for whom it is intended.
The Sanitarian. Vol. xl., No. 340. Price 35 cents. TheAmerican News Company, New York.-The volume containsamongst other articles a useful paper by Dr. Bermingham onHygiene and Diet for the Pulmonary Invalids, and one byDr. Meade Bolton on the Vitality of Pathogenic Germs inWater and Other Media, in which he insists that in all
probability pathogenic germs have but a brief life in water.Mr. E. W. Thirkell contributes a paper of interest on theventilation of mines, and Foetal Murder is the title of anarticle by Dr. H. R. Storer, in which it appears to us thatthe evidence adduced as to the falling off in the increase ofthe American population being due to premature births ofinfants is somewhat slender. This question of variations inthe birth-rate is a complicated one and it can hardly beattributed to any one factor. In taking up this position wein no sense disagree with Dr. Storer as to the necessity ofcontrolling this practice-apparently all too common-of
sacrificing foetal life.Paolo dal Pozzo Toseanelli: una biografca da PIETRO GORI.
(Paolo dal Pozzo Toseanelli: a Biography, by PIETRO GORI.)Firenze : R. Bemporad e Figlio. 1898.-Amerigo Vespucci : :narrazione storica da GIUSEPPE CONTI. (Arraerigo Vespucci : :historical narration, by GIUSEPPE CONTI.) Firenze : R.
Bemporad e Figlio. 1898.-These two handy volumes appearopportunely to prepare the world for the quatercentenarycommemoration of the two great Tuscan geographers andexplorers to be held in Florence from April 17th to 27th.They will also be serviceable in view of the third
Congress of Italian Geography, which rises just beforethe commemoration referred to-a congress of peculiarinterest to the English-speaking world as dealing largelywith the " Dark Continent" and the Malayo-PolynesianArchipelago and of not less interest to the medical
calling as giving much attention to meteorology and the11 physical conditions of climate." On this account it
is to be regretted that its sittings will be almost
contemporaneous with those of the International Con-
gress of Hygiene and Demography to meet at Madrid.Historians of medicine vie with each other in pointingout the accessions made to materia medica by the geo-graphical discoveries, mainly due to Italians in the westernhemisphere, and it is interesting to note how many of theseItalians were schooled in the sciences on which the healingart rests. Signor Gori tells us, for example, that his hero,Toscanelli, was not only trained in physics, but also, with hisbrother Piero, graduated in Arts and Medicine at Padua-was, in fact, a 11 medico valentissimo " whose quest for newremedial agents, as for " spezie " and "droghe" in
general, was a powerful incentive to maritime and inlandexploration. Vespucci, also (as Signor Conti puts in
evidence), was reared in a " physical and medical atmos-phere," and when reporting the results of his first voyagefrom the Canaries "circa mille leghe aIl’Occidente" "
describes the therapeutics prevalent among the savagesamong whom he landed and particularly their recourse tothe cold affusion " da capo a piede " in fever. The growingnecessities of a re-awakened healing art and of a civilisationyearning after moral horizons and ideals ampler and noblerthan those offered by a worn-out tradition evoked, in fact,
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the explorers and pioneers of the Renaissance, producingand moulding and sending on their mission such men asToscanelli and Vespucci and sustaining them through sternexperiences abroad and yet sterner ordeals at home till
their lives became the tissue of romantic adventure and
prosaic controversy so instructively and attractively set forthin the" biografie" before us. The literary exposition,unusually artistic and effective even for writers of approvedskill like Signor Gori and Signor Conti, is assisted with
portraits, Toscanelli’s being as impressive in its way as thatof Savonarola, while Vespucci’s might have been with profitreinforced by the beautiful one just brought to light in theChurch of the Borgoguissanti and known-to have been thework of Ghirlandaio. This represents him as the "bel
giovane" of a familiar Florentine group and would haveprepared us for the masculine voyager, hardened by adven-ture and sobered by trial, whose likeness confronts SignorConti’s title-page.
Gardiner’s Household Medicine and Sickroom Guide.Edited by W. H. C. STAVELEY, F.R.C.S. Eng. Thirteenthedition. Pp. 511. 51 Illustrations. Demy 8vo. London :
Smith, Elder and Co. Price 8s. 6d. 1898.-The firstedition of this work, written by the late Dr. John
Gardiner, appeared in 1861 and the fact that it hasnow reached its thirteenth edition shows that it meets
a definite want. Its avowed object is to supply usefulmedical knowledge to those who, like colonists and
missionaries, are removed from skilled medical help, andit is not intended to encroach in any way on the province ofthe medical man. It may be added that the greater part ofthe volume might serve as a text-book for nurses during theirperiod of probation as it contains a large amount of usefuland practical knowledge and at the same time provides asufficiency of anatomy and physiology. While fully recog-nising the danger that may result from prescribing by un-skilled persons Mr. Staveley has supplied a number offormulas for use in emergencies. The book fully succeeds inits object and is essentially practical in its execution.The Pocket Formulary for the Treatment of Diseases in
Children. By LUDWIG FREYBERGER, M.D. Vienna, M.R C.P.Pp. 208. London: The Rebman Publishing Company. 1898.Price 6s. 6d.-Compiled in order to provide in a convenientform necessary information about the therapeutic treatmentof children this volume consists of two parts. The first,which occupies 180 pages, is an alphabetical list of drugs.In it useful details as to therapeutic uses, dose, and in-
compatibilities are given, and convenient prescriptions, whichhave been carefully planned so as to cover the taste of thedrugs, are supplied. The author has evidently taken greattrouble with this portion of the work. The second part iscalled the Therapeutical Index and contains the names of someof the commoner diseases of childhood and of the appropriateremedies. This section is disappointing, for it is incomplete.The arrangement is unsatisfactory and the nomenclature
hybrid. English and Latin terms are used haphazard ; forexample, Mumps and Morbilli occur as headings without anycross reference under parotitis or measles and the onlyreference to exophthalmic goitre is under Struma exoph-thalmica. It is a pity that this portion is so inferior to therest of the book.
BRISTOL ROYAL INFIRMARY.-The annual meet-ing of this institution was held on March 22nd, under thepresidency of Sir C. Cave. The report stated that 3183in-patients had been admitted during 1897, against 3210 in1896, and that 37,056 out-patients had been treated, against34,107 in the preceding year. The financial statementshowed that the total ordinary income for 1897 was £ 9648,against E9587 in 1896. The total ordinary expenditure was£ 13,195, against £ 12,770 in the previous year. The Presi-dent said that there was a deficit of nearly £ 14, 000 due tothe treasurer.
New Inventions.IMPROVED ETHER INHALER.
MESSRS. MAYBB AND MELTZER have constructed for me
very satisfactorily a Clover’s smaller ether inhaler with somemodifications which I think will be found very useful andwhich are shown in the accompanying illustration. 1. In thedome of the ether chamber are two circular apertures oneither side into which are screwed two watch-glasses or’’ windows " (A A) allowing a view of the interior, so thatthe quantity of ether in the chamber can be easily seen atany time during an administration. These " windows " canbe unscrewed and the whole of the interior cleansed withease after each administration. To facilitate thoroughcleansing and to afford a good light in the ether chamber theinterior surface is plated and polished in the same manner asthe exterior. The glass " windows " fit accurately so as toprevent any leakage of ether in whatever position the inhalerbe placed. Should the glass become foggy from con-
densation of breath on its inner surface, by turning theinhaler so that the ether passes over the glass fora moment, it will be immediately rendered clear.
A A. Windows looking into ether chamber. B, Stopper ofaperture for filling hot-water jacket. C, Stopper of aperturefor filling ether chamber. E, Air-opening into bag.
Anyone who has examined the interior of the ether cham.ber of the ordinary Clover’s inhaler, with a reflecting mirror,will have noticed that it is generally dirty, and oftenhas a deposit of verdigris in it, nor can it be reached forcleansing purposes. This is obviated by the inhaler de-scribed. 2. The water jacket instead of being closed entirelyhas an aperture with a detachable screw-stopper (B), so thatit may be filled with warm water before the inhalation in coldweather ; and the jacket may be quickly emptied and re-filled if required during a long operation. 3. In the distalend of the bag is an aperture E covered by a metal cap,the rotation of which closes or opens a slot for admissionof air into the bag.
It will be found that by keeping the slot only slightly, butcontinuously, open (after anaesthesia has been induced)cyanosis is prevented and quiet armsthesia continues. Inweakly people air may be admitted continuously from thefirst. By taking off the cap the bag can be cleansed outwith a mop after administration. I have used this inhalerfor some months and find it very satisfactory in itsworking.Bath. T. WILSON SMITH, M.D. Lond.
AN EYE PROTECTOR.
AN ingenious and useful protector for the eyes of cyclistsand others exposed to wind and dust has been devised byDr. E. Mirovitch and is described by him in a communica-tion made to the French Hygienic Society in February last.