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1406 his presidential address on Uterine Haemorrhage: its Causes and Treatment.-After the address a most enjoyable smoking concert was provided by the generosity of the President. The following artists contributed to the amusement of the evening :-Mr. Bowen Williams, Mr. F. H. Cheesewright, Mr. E. Wallace, Mr. Carl Brandt, Mr. Alec White, Mr. W. Keast, and Mr. Stanley Graham.-The annual dinner of the society will take place at the Hotel Cecil on Tuesday, June 18th. Reviews and Notices of Books. The Science of Hygiene: a Text-book of Laboratory Practice. By WALTER C. C. PARES, D.P.H., F.C.S., Bacteriologist to Guy’s Hospital and Demonstrator of Sanitary Science and Bacteriologist in the Medical School, &c. London : Methuen and Co. 1900. Pp. xv.-308. Price 15s. THE title of this book is somewhat misleading, as it deals almost entirely with the arts practised by the hygienist in his laboratory. It is, however, a very excellent and useful volume, practical in character, wide in scope, and accurate in detail. It covers the whole of the laboratory work required from candidates for the various diplomas in public health, and, indeed, it covers much more than this, and will be found a good work of reference for medical officers of health generally. We know of no other single book which attempts, much less succeeds in, so wide a field. The book is divided into five parts. Part I. deals with Bacteriology purely from the laboratory point of view. It gives a full and detailed account of the technique of the subject, including the making of media, and contains a scheme for the examination of the bacteria most important from the hygienist’s standpoint, together with an account of the bacteriological investigation of water, air, soil, milk, &:c. It appears to be a very adequate and accurate course of labora- tory work and cannot fail to be of much utility. We have few criticisms to pass upon it, but we note the use of the term " hypomycetes " for hyphomycetes, and we fail to see what advantage the German word ’’ Qeischwasser " has over the English terms "broth" or "meat infusion." In describing the mode of preparing agar-agar plates we find no reference to the convenient method of allowing them to solidify and then inoculating the surface only. Part II. deals with Microscopic Hygiene and is in many respects the most novel and useful part of the book. It describes the appearances of the different starches, fibres, and parasites which the candidate for a public health diploma is expected to recognise, and the microscopic characters of various foods. This part is illustrated’pro- fusely and fairly well, which adds much to its utility. We doubt whether pediculus vestimentorum can be so readily distinguished from pediculus capitis as the author imagines. We should also be glad to learn why the organism of re- lapsing fever, described as belonging to the bacterial genus spirillum (or spiroch2eta), is positively stated to be a pro- tozoon, although we know almost nothing about its life history. Part III. deals with the Chemical Analysis of Water, Foods, and Air, and seems an excellent laboratory guide, founded as it is on the author’s own experience. An admirable feature of this, as of other parts of the book, is that everything is explained and not merely stated. We may call attention to a misprint on p. 191, in the equation showing the reaction between silver nitrate and sodium chloride. Parts IV. and V. deal with Physics and Vital Statistics in a theoretical way and apart from laboratory work. These sections call for no special comment. We would repeat, in conclusion, that Mr. Pakes has produced an eminently useful and practical book which should find much favour with those for whom it is written since it has the great advantage of comprising within one cover information which can other- wise only be gathered from several different sources. Manuel de Tliérrapmdiq1te Oliniq1/’e : : Accouchements et Maladies des Femmes en Couches. (Man1lal of Clinical Therapeutics: -Labour and the Diseases of the Puerperal Period.) By M. GAULARD and M. BUE. Paris : Vigot Frères. 1901. Pp. 602. Price 8 francs. THE importance of the diseases of the puerperal period’ can hardly be over-estimated, and since it is impossible within the bounds of the ordinary text-book for students to- consider them in any great detail such a manual as this ia of great service. In the present instance the authors have- collected a great deal of information and their own experience and that of others are fully summarised. The teaching is, of course, mainly that of the French school of midwifery and many of the recommendations are therefore novel and at times contrary to English practice as taught in our medical schools. The numerous valuable contributions to the science of midwifery made by such French obstetricians as Pinard, Tarnier, Budin, and Varnier, and the fact that the operation of symphysiotomy is practised to a greater extent in France than in almost any other country, render the perusal of this book of great interest. A manual in the English language dealing with the diseases of the puerperium is at the present time a desideratum, but in the absence of such a book we can recommend students and practitioners either the present work or the well-known monograph of Vinay. After a consideration of the proper treatment of normal and abnormal varieties of presentation and the treatment of the delivery of the placenta the disorders of the various systems that may occur during pregnancy are described. A section upon the Effect of General Diseases upon, Pregnancy and the Puerperium follows and then come chapters upon Diseases of the Ovum, Extra-uterine Gesta- tion, Abortions, and Obstruction to Labour produced either by Abnormalities of the Foetus or of the Pelvis. The two concluding chapters treat of the Various Forms of Septic Infection and the Disorders of the New-born Child. Modern Medicine. By JULIUS L. SALINGER, M.D., Demon- strator of Clinical Medicine. Jefferson Medical College, &c. ; and FREDERICK J. KALTEYER, M.D., Assistant Demonstrator of Clinical Medicine, Jefferson Medical College. London and Philadelphia: W. B. Saunders and Co. 1900. Pp. 802. Eight Plates. Price 17s. Tnis is one of those works of which a short review only is necessary. The aim of the authors has apparently been to render, the book a synopsis of our present knowledge of medicine without entering into the details as to pathology or theoretical considerations, but we cannot state that a successful text-book is the result, and omissions and error& are constant. The first part of the volume is concerned with descriptions of physical diagnosis, clinical bacteriology, the examination of the gastric contents, urine, blood, and faeces. There is nothing new in the pages devoted to these subjects. Turning to the major portion of the work, that devoted to consideration of the various diseases, we again find much to criticise. Pathology. receives but scant attention and the symptomatology is frequently insufficiently described. There are some exceptions, however, such as the account of infective Endocarditis," which is accurate and well given. In the description of physical signs, too, the authors again fail in many instances to give a sufficiently full idea to the- reader of the many anomalous cases that may occur at the bedside. They describe a characteristic case, but the student who relies on such data will find that there are more excep- tions than cases which follow the signs laid down in this
Transcript

1406

his presidential address on Uterine Haemorrhage: its Causesand Treatment.-After the address a most enjoyable smokingconcert was provided by the generosity of the President.The following artists contributed to the amusement of theevening :-Mr. Bowen Williams, Mr. F. H. Cheesewright,Mr. E. Wallace, Mr. Carl Brandt, Mr. Alec White, Mr. W.Keast, and Mr. Stanley Graham.-The annual dinner ofthe society will take place at the Hotel Cecil on Tuesday,June 18th.

Reviews and Notices of Books.The Science of Hygiene: a Text-book of Laboratory Practice.

By WALTER C. C. PARES, D.P.H., F.C.S., Bacteriologistto Guy’s Hospital and Demonstrator of Sanitary Scienceand Bacteriologist in the Medical School, &c. London :Methuen and Co. 1900. Pp. xv.-308. Price 15s.

THE title of this book is somewhat misleading, as it dealsalmost entirely with the arts practised by the hygienist inhis laboratory. It is, however, a very excellent and useful

volume, practical in character, wide in scope, and accuratein detail. It covers the whole of the laboratory workrequired from candidates for the various diplomas in publichealth, and, indeed, it covers much more than this, and willbe found a good work of reference for medical officers ofhealth generally. We know of no other single book whichattempts, much less succeeds in, so wide a field.The book is divided into five parts. Part I. deals with

Bacteriology purely from the laboratory point of view. It givesa full and detailed account of the technique of the subject,including the making of media, and contains a scheme forthe examination of the bacteria most important from thehygienist’s standpoint, together with an account of the

bacteriological investigation of water, air, soil, milk, &:c. It

appears to be a very adequate and accurate course of labora-tory work and cannot fail to be of much utility. We have fewcriticisms to pass upon it, but we note the use of the term" hypomycetes " for hyphomycetes, and we fail to see whatadvantage the German word ’’ Qeischwasser

" has over the

English terms "broth" or "meat infusion." In describingthe mode of preparing agar-agar plates we find no referenceto the convenient method of allowing them to solidify andthen inoculating the surface only.

Part II. deals with Microscopic Hygiene and is in manyrespects the most novel and useful part of the book. Itdescribes the appearances of the different starches, fibres,and parasites which the candidate for a public health

diploma is expected to recognise, and the microscopiccharacters of various foods. This part is illustrated’pro-fusely and fairly well, which adds much to its utility. Wedoubt whether pediculus vestimentorum can be so readilydistinguished from pediculus capitis as the author imagines.We should also be glad to learn why the organism of re-lapsing fever, described as belonging to the bacterial genusspirillum (or spiroch2eta), is positively stated to be a pro-tozoon, although we know almost nothing about its life

history.Part III. deals with the Chemical Analysis of Water, Foods,

and Air, and seems an excellent laboratory guide, founded asit is on the author’s own experience. An admirable featureof this, as of other parts of the book, is that everything isexplained and not merely stated. We may call attentionto a misprint on p. 191, in the equation showing the reactionbetween silver nitrate and sodium chloride.

Parts IV. and V. deal with Physics and Vital Statistics in atheoretical way and apart from laboratory work. Thesesections call for no special comment. We would repeat, inconclusion, that Mr. Pakes has produced an eminently usefuland practical book which should find much favour with thosefor whom it is written since it has the great advantage of

comprising within one cover information which can other-wise only be gathered from several different sources.

Manuel de Tliérrapmdiq1te Oliniq1/’e : : Accouchements etMaladies des Femmes en Couches. (Man1lal of ClinicalTherapeutics: -Labour and the Diseases of the PuerperalPeriod.) By M. GAULARD and M. BUE. Paris : VigotFrères. 1901. Pp. 602. Price 8 francs.

THE importance of the diseases of the puerperal period’can hardly be over-estimated, and since it is impossiblewithin the bounds of the ordinary text-book for students to-consider them in any great detail such a manual as this iaof great service. In the present instance the authors have-collected a great deal of information and their own

experience and that of others are fully summarised. The

teaching is, of course, mainly that of the French school ofmidwifery and many of the recommendations are thereforenovel and at times contrary to English practice as taught inour medical schools. The numerous valuable contributionsto the science of midwifery made by such Frenchobstetricians as Pinard, Tarnier, Budin, and Varnier, andthe fact that the operation of symphysiotomy is practised toa greater extent in France than in almost any other country,render the perusal of this book of great interest. A manualin the English language dealing with the diseases of thepuerperium is at the present time a desideratum, but in theabsence of such a book we can recommend students and

practitioners either the present work or the well-known

monograph of Vinay.After a consideration of the proper treatment of normal

and abnormal varieties of presentation and the treatmentof the delivery of the placenta the disorders of the varioussystems that may occur during pregnancy are described.A section upon the Effect of General Diseases upon,Pregnancy and the Puerperium follows and then come

chapters upon Diseases of the Ovum, Extra-uterine Gesta-tion, Abortions, and Obstruction to Labour produced eitherby Abnormalities of the Foetus or of the Pelvis. The two

concluding chapters treat of the Various Forms of SepticInfection and the Disorders of the New-born Child.

Modern Medicine. By JULIUS L. SALINGER, M.D., Demon-strator of Clinical Medicine. Jefferson Medical College,&c. ; and FREDERICK J. KALTEYER, M.D., AssistantDemonstrator of Clinical Medicine, Jefferson MedicalCollege. London and Philadelphia: W. B. Saunders andCo. 1900. Pp. 802. Eight Plates. Price 17s.

Tnis is one of those works of which a short review onlyis necessary. The aim of the authors has apparently been torender, the book a synopsis of our present knowledge ofmedicine without entering into the details as to pathologyor theoretical considerations, but we cannot state that a

successful text-book is the result, and omissions and error&

are constant.The first part of the volume is concerned with descriptions

of physical diagnosis, clinical bacteriology, the examinationof the gastric contents, urine, blood, and faeces. There is

nothing new in the pages devoted to these subjects.Turning to the major portion of the work, that devoted to

consideration of the various diseases, we again find muchto criticise. Pathology. receives but scant attention andthe symptomatology is frequently insufficiently described.There are some exceptions, however, such as the account ofinfective Endocarditis," which is accurate and well given.In the description of physical signs, too, the authors again

fail in many instances to give a sufficiently full idea to the-reader of the many anomalous cases that may occur at thebedside. They describe a characteristic case, but the studentwho relies on such data will find that there are more excep-tions than cases which follow the signs laid down in this

1407

text-book., We do not think that the book is likely to

become popular in this country.

Materia Medica and Therapeutics, with reference to the MostDirect Action of Drugs. By FINLEY ELLINGWOOD, M.D.,editor of the Chicago Medical Times. With a CondensedConsideration of Pharmacy and Pharmacognosy by

, Professor LLOYD, Ph.D., of the Eclectic Medical Instituteof Cincinnati. Chicago: Medical Press Co. 1900. 8vo,pp. 706. Price$5.00.

THIS work on materia medica, recognising the UnitedStates Pharmacopoeia only in passing and our British

Pharmacopoeia not at all, will probably not meet with a very- cordial reception in the United Kingdom. The parts of thework descriptive of the materia medica are thorough and.good and the classification is satisfactory. It is evidentthat the author is a botanist of no mean order and that hehas taken the very greatest trouble to give complete descrip-tions of every vegetable ’drug with which he deals. All the

medicines are classified as "agents acting upon" one or

other system or part of the body, and organic and in-

.organic drugs find themselves side by side in the’ same group and chapter. It is probable that the

anthor’s- therapeutics, however, will not be particu-larly well received. The style in which therapeutics are

dealt with is scarcely scientific; it is over-confident,and members of the profession in England, who are

,seldom " eclectic," will not be attracted by the state-

ment that hints have been taken " from eminently’irregular sources." To be perfectly honest, we are obligedto add that a great deal of the author’s introduction

suggests that he has approached the study of medicinaltreatment from an empiric standpoint. ’’ Eclecticism was

originally composed of many dissonant facts. Thesehave been fused or amalgamated until it now has an ,,

essentially exact constitution ...... a characteristic indi-

viduality which wins for it the approval of all consistentobservers." In this style is the book built up, and no onewith a sense of humour will fail to glean some amusementfrom this attempt to make "eclecticism" a school in itselffounded on the " gems of truth" gathered and rescued fromthe teaching of the schools of allopathy and homoeopathyand elsewhere.

The Dreamers: An Original Play in Five Acts. By GEORGEH. R. DABBS, M.D. Aberd. Shanklin, 1. W. : SilsburyBrothers. 1901. Pp. 45. Price 6d.,

DR. DABBS has published ‘° The Dreamers " in book formbefore it has been acted because, as he states in a prefatorynote, "no author living amid provincial surroundings, whohas not the intention of wasting money on expensive anduseless experiments, can ever hope to secure for his workanother kind of hearing." We need not discuss the

accuracy of this statement at any length, for manythings might be said on both sides of the questionwhich it raises without any definite conclusion beingreached, and it will be enough to say that "The Dreamers strikes us as being a better written and more interestingpiece than are many of the plays which have been acted andwhich have secured some measure of commendation, whileat the same time it is probably better as a story told indialogue than it would be if presented without alteration onthe stage. It is a drama of modern life in which the

principal characters are representatives of Capital on theone side and of Labour on the other, the representatives ofLabour being prominent members of continental secretsocieties which are on the brink of appealing to veryextreme measures indeed to bring about their ends. One ofthe continental secret envoys, actuated by motives that area little obscure, combines the objects of his society

with endeavouring to exact blackmail from the wife of oneof the capitalists, a lady who has a past with which anothercapitalist is connected. But we have no intention of givingaway Dr. Dabbs’s plot; we have indicated that it is of a

sensational, almost of a melodramatic nature, and we needonly add with regard to it that it supplies at the ends ofAct III. and Act IV. two highly dramatic and interestingscenes which we should say were eminently suitable forstage purposes. The characters are clearly and firmly drawnand their characterisation should become even more markedif "The Dreamers" were ever to see the foot-lights.The drawback to stage production to which we havereferred seems to us to lie in the fact that a gooddeal is talked of at times which is not broughtbefore the audience in the action, whereby occasionallythere might arise a little difficulty in following matters ofdetail that are also matters of importance. A playwrightwho desires his play to be produced by others, as Dr. Dabbsfrom the note that we have quoted would seem to do, has toremember that managers who may be unwilling to I I wastemoney on expensive and useless experiments" have to con-sider the intelligence of the audiences for whom they mustcater if they want to make money, and that the measure ofthat intelligence is the hearing and understanding capacityof a rather dull person in the middle of the pit, whowill be no deafer or duller than many other persons inthe stalls and the dress circle ; while neither in stalls nor pitis it possible to turn back, like the reader in an arm-chair, toa previous page in order to pick up a lost thread or torecall what has gone before. Still difficulties of this kindcan usually be got rid of by cooperation between a

willing author and an intelligent stage-manager, while thesame two in partnership might contrive a means of dis-

pensing with Dr. Dabbs’s Fifth Act, which from the point ofview of stage production is as undesirable as is the proverbialfifth wheel of the coach. Beyond this questions of prob-ability as to how much an audience will stand in the natureof anarchist plotters who give their victims cigarettes thatkill in a few whiffs, and whether gentlemen and ladies inevening dress control or endeavour to control anarchistsfrom modern English drawing-rooms, are elements in thechoice of a theatre, but they need not be discussed by areviewer. 41 The Dreamers," from a literary point of view,is well worth reading and we commend it to the attention ofthose who might give it a public hearing to their own

advantage. ___________

LIBRARY TABLE.A Practical Guide to the Public Health Acts : a Vade

MeCt6m for Officers of Health and Inspectors of Nuisances.By THOMAS WHITESIDE HIME, B.A., M.D. Dub. Second,much enlarged, edition. London: Bailliere, Tindall, andCox. 1901. Pp. 1096. Price 15s. net.-This is a veritablemine of information of a somewhat heterogeneous nature,a limp leather-bound octavo volume of lvi. + 1040 pages,with sundry illustrations. The first edition of the bookwas a small, handy pocket volume, but the author in thethe second edition has somewhat destroyed the portablecharacter of the volume. The book may best be describedas a guide to the public health statutes, regulations,orders, by-laws, and memoranda, while it embraces in

addition essays upon multitudinous subjects bearing directlyor indirectly upon the public health. It is impracticableeven to indicate all the contents of this volume, but it maybe said that the duly-qualified sanitary official will derivemuch assistance therefrom. We say the duly-qualifiedofficial because we feel that the book is more fitted for himthan for the student. For the latter the book is, perhaps,a little too complicated, and the rather decided views of theauthor upon certain subjects render the work more fitted forthe matured judgment and critical faculty of the sanitary

1408

officer than for the student. Moreover, the scheme of thebook is not altogether easy to follow notwithstanding theindex and that the Acts are arranged in chronological order.What the author terms "hints" abound in the book andsome of such hints are most useful. We have ’ hints onmeat," " hints on statistics," &c., while such subjects as

country holidays for poor children, soup kitchens, &c.,receive their share of attention. Specimen examinationpapers for the Diploma of Public Health are within the scopeof the volume and in the appendix will be found a selectedlist of important sanitary law cases which should prove ofgreat value.

Comment la Route crée le Type Social. (How the Routecreates the Social Type.) By EDMOND DEMOLINS. Secondedition. Paris : Firmin-Didot and Co. 1901. Pp. 472. 8vo.Price 3 francs 50 cents.-The actual substance of thiswork was embodied in a series of lectures given by theauthor before the Geographical Society in Paris. Drawinglargely on the information gained during 25 years’ researchby M. Henri de Tourville, the author explains to his ownsatisfaction that the great diversity among the races thathave peopled the world has been brought about by the factthat, all originally starting from man’s birthplace, theGarden of Eden, different groups have followed differenttrade routes across the earth and have become modified bytheir surroundings, so as to form the present social types.There are certain well-recognised great routes of travel andtrade over the world, and the author describes in muchdetail some of, if not all, the types produced by each ofthese routes. But the work has little or no interest to the

ordinary physician or surgeon and is practically an essay inethnology. There are no illustrations but a few dia-

grammatic maps.Transactaons of the Society of Anæsthetists. Vol. Ill.

London: Medical Publishing Company. 1900. Pp. 168.-This volume contains a valuable paper by Dr. G. H.

Savage on the Relationships between Anaesthetics and

Insanity. Although the author finds no evidence ofsevere mental aberration being initiated in persons whohave not had a predisposition to insanity, or actual

attacks of insanity, he has met with many individuals

among both classes in whom attacks have resulted

upon the use of anaesthetics. He admits no differencebetween various anaesthetics as regards the onset of such

attacks nor does he know of any way of obviating theliability to these nerve storms and the subsequent mania.We gather that Dr. Savage would not condemn anaesthesiain the case of those actually insane at the time of the

operation and has not found their subsequent conditionworse. An instructive discussion upon the " After-Effects ofEther Inhalation upon the Respiratory System," by themembers of the society, is given. The conclusions are

practically those generally adopted at the present time-viz., that the respiratory troubles following ether are as arule slight and that when broncho-pneumonia or other serioussequelae occur they do so as a result of exposure either duringthe operation or in the subsequent removal of the patient tothe ward. Mr. Edgar Willett contributes a useful paper onthe Administration and Choice of Anaesthetics for Infantsand Young Children and recommends the use of a freshly-prepared mixture of equal parts of ether and chloroform.He gives this by means of a Skinner’s frame or double layerof lint, supplying the mixture guttatim from a drop bottle.Some very instructive cases are recoided by Dr. McCardie,Mr. Rickard Lloyd, Mr. Carter Braine, Mr. E. M. Corner,and others. We congratulate the society upon a most

servicable volume which must appeal by its own meritsto all who take an interest in, or are anxious to keepabreast of, the department of science with which thesetransactions are concerned.

Royat: Indications Thérapeutiques Méthodiquement Classées.(Royat : : Therapeutic Indications Methodically Classified.)By Dr. A. BOUCHINET, consulting physician to the Spa.Paris: J. B. llaillière et Fils. 1901. Pp. 104. Price1s. 8d.-The mineral springs at Royat have long been

recognised as useful medicinal agents in the treatmentof anmmia in its various forms and of all painful affec-tions of the joints. The author, who has been practisingfor the last 10 years as physician at the spa, is anxious to.extend the sphere of usefulness of these alkaline waters,and this little book is intended to supply accurate informa-tion about everything connected with them. There are fourof them, with temperatures ranging from 20° C. to 35° C.—that is, from 68° F. to 95° F.-and the mineral salts which

they contain vary from two grammes to five and a half

grammes per litre. The other diseases which the authorclaims to be able to relieve or to cure by the use of Royatwaters internally and externally are neurasthenia, goutyneuralgias, chronic laryngitis, and the various ’disorders

likely to occur at the menopause. In addition to these areendometritis and the consequent sterility. No records ofcases or other references are given.Records from General Practice. Part II. By J. KINGSTON

BARTON, M.R.C.P. Lond.,M.R.C.S.Eng.,J.P. London: JohnBale, Sons, and Danielsson. 1901. Pp. 208. Price 2s. 6d.-We reviewed the first instalment of Mr. Barton’s " Records "

in our issue of June 30th, 1900, p. 1889. This, the secondnumber, contains amongst other papers details of 100 casesof midwifery. In those which cover a period of time fromJune, 1887, to June, 1898, there were no maternal deaths andthere was but one death of the child, due to craniotomy.The patient was a primipara, aged 38 years, with a narrowpelvis. During labour she developed acute cardiac dilata-tion. Dr. W. S. A. Griffith attempted delivery with forcepsbut failed. Owing to the critical condition of the mothercraniotomy was decided upon and delivery was successfullyperformed. The mother made a good recovery and theaction of the heart quickly became normal. Of other papers,those on Drugs and Remedies and the Notes on Urine containmany useful observations.

Mentone as a Health and Pleasure Resort. By D. W.SAMWAYS, M.D. Camb. and Paris. Illustrated by reproduc-tions of numerous photographs. London: Bemrose and

Sons, Limited. 1901. Pp. 104. Price 3s. 6d.-This isa small pocket guide with an excellent photograph on

almost every other page. If for no better reason thanthese numerous illustrations, it constitutes a capitallittle souvenir of the picturesque winter station. But

there is also a sufficiency of descriptive matter. There

is even a brief historical sketch of Mentone extendingto the middle ages and describing the various changesthat have taken place, including its rebellion from the

princely dominion of Monaco and the formation of an

independent republic. Of course, such questions as thatof the climate are treated at much greater length,for it is the climate which is the main, if not the sole,attraction to Mentone. In this respect the photographsserve better than the text to show how thoroughly Mentoneis sheltered from the cold winds and exposed to the hotsouthern sun. The climate is also vindicated by the vegeta-tion, the orange and the lemon trees, the aloe, the pricklypear, and the violets that appear early in January. Theclearness of the atmosphere is proved by the fact that themountains of Corsica, though 100 miles away, may often beseen across the sea. The advantages which Mentone affordsfor the climatic treatment of disease are naturally discussedat considerable length and we find that I on the whole

phthisical patients are far from being now the bulkof Mentone invalids," but that "half the Englishdoctors who have practised in Mentone came to save

1409

their lives and but one has failed." Bronchitis, emphysema,catarrhal conditions generally, cardiac weakness, asthmathat is not due to nervous conditions, laryngitis, and renaldiseases are all favourably influenced by the climate of

Mentone. Dr. Samways also describes the drives, excursions,and diversions generally that visitors may enjoy whenwintering at Mentone and has practical advice to give inregard to the hotels, furnished villas, &c. The book willtherefore be of use to those who propose to winter at this

particular spot. _______________

JOURNALS AND MAGAZINES.

American Medicine. Vol. I., Nos. 1 and 2.-This is a new f

medical journal and is, as we learn from the title-page, "founded, owned, and controlled by the medical profession of America." Among the writers of original articles we see such well-known practitioners as Osler of Baltimore, Hare of Philadelphia, and Deaver of Philadelphia. The type isgood, the paper is good, and the editorial comment, as mightbe expected from such an editor as Dr. G. M. Gould, isbright, pithy, and interesting. A feature of the journal isthe "World’s Latest Literature," which is a well-selectedresume of medical literature from other journals. We were

pleased to see in the prospectus affixed to No. 1 that " thereading columns will not be dominated or influenced bycommercial considerations. Not a reading notice’ willever appear if watchfulness can prevent. Any attemptto bribe or intimidate editorial action-and such

attempts, positive or negative, are common-will fail."It was with some surprise, therefore, that we saw at the endof the journal three pages given up to a record of the use oftwo drugs in certain diseases, exemplified by reports of casesand illustrated with temperature charts. For these articles,which at first sight appear to be original articles, are in factmere reprints from back numbers of other medical journalsand are advertisements pure and simple, only printed to lookas if they were not so. The list of founders and subscribersto the new journal includes some of the most honoured namesin American medicine. It is therefore to be hoped that theadvertisements will not appear again in the objectionableform to which we have referred. They are still in evidencein No. 2 and are in this number even more like readingmatter" than in No. 1, for in that number they were dividedfrom the journal proper by a list of subscribers. But we are

confident that this little incongruity has escaped the eye ofthe editor and will promptly be set right. Dr. Gould, if onlyby reason of his wonderful ’’ Illustrated Dictionary of Medi-cine, Biology, and Allied Sciences," is entitled to the

gratitude of every English-speaking medical editor, and we cordially wish him success in his new venture.The Practitioner continues in the May number its con-

sideration of organo-therapy. Dr. W. E. Dixon contributesa commendably concise yet interesting article on the Com-position and Action of Orchitic Extract. He concludes that

injections of this extract as administered by Brown-S6quardhave a powerful influence in metabolism and on blood-

pressure. The metabolic effects are shown by changes inthe blood and urine. Dr. Dixon also discusses the ovaryas an organ of internal secretion. A case of trans-

plantation of an ovary from one woman to anotheris quoted. Dr. W. Bulloch summarises recent workon the nature of cytotoxins. Dr. 0. R. Box writes onthe value of suprarenal preparations in Addison’sdisease, discussing two cases very carefully observed overconsiderable periods of time. There is very little evidenceas yet of benefit in Addison’s disease from suprarenal extract.An article on the recent work of some French authors dealswith their conclusions as to the therapeutic value of extractsfrom various organs. Some remarkable effects are quoted,particularly as regards liver extracts used in cases of diabetes

and intestinal extracts in cases of obstruction of the bowels.The hero of medicine for the month is Brown-Sequardwhose restless and effective life is succinctly told. Theeditorial remarks deal mainly with the question of armymedical reform. The affairs of the National Hospital forthe Paralysed and Epileptic, Queen-square, W.C., are also

discussed, and Mr. Burford-Rawlings is very justifiablycastigated. Dr. Arthur Newsholme writes on ventilation ofschools, and there are, as usual, good summaries of recentwork in one or two departments of medicine.The Medical Magazine is not very interesting in its May

issue. Mr. J. Foster Palmer allows the account of modern

epidemics to lead him from the consideration of cholera tothe investigation of infinity. We want more physics andless metaphysics in such articles. Mr. A. R. Whitewayupholds the Elmira method of treating criminals. Dr.

Thomas Oliver writes on health in the school and some goodadvice as to ventilation and spread of infection in schools is

to be found in his article.

Analytical RecordsFROM

THE LANCET LABORATORY.

PLASMON COCOA.

("INTERNATIONAL PLASMON," LIMITED, 56, DUKE-STREET, GROSVENORSQUARE, LONDON. W.)

PLASMON cocoa is typical of the undoubted advantagesthat may be gained by the addition of plasmon to a commonarticle of diet. Plasmon increases the food value of cocoa

enormously, more than half of the resulting mixture con-sisting of pure and soluble proteid. Raw cocoa is, of course,unsuitable dietetically chiefly because of the large proportionof indigestible fat which it contains. In the best cocoas

this fat is reduced to about 30 per cent. from an initial

quantity of 50 per cent. The proteid value of cocoa is,however, small, for out of a total amount of 20 85 per cent.only 6’4 per cent., according to a recent analysis which wehave made, is soluble. Some of the nitrogen of cocoaoccurs in the interesting alkaloid, theobromine, an ally ofcaffeine, in tea, and in coffee, the amount of theobrominebeing nearly 2 per cent. Though cocoa is to some extentnutritive, yet its value as an article of diet is chieflydue to its stimulant properties, and its freedom from irri-tating substances has made it a satisfactory substitute forcoffee and tea where these cannot be tolerated. With milkand sugar cocoa forms an excellent beverage and one whichpresents the composition of a food in accordance with

physiological requirements. The remarkable nutritive powerof plasmon has been well-established, and, as we have

already pointed out, plasmon may be used with the greatestpossible advantage to enrich food otherwise poor in

nitrogen or proteid. Plasmon cocoa contains all the con-stituents able to support life. It is mildly stimulatingwhilst highly nourishing. Our analysis was as follows:

moisture, 10-82 per cent. ; mineral matter, 7’50 per cent. ;proteids, 57’51 per cent.; fat, 10’20 per cent. ; and starch andinsoluble matters, 13’97 per cent. Further analysis leads tothe satisfactory result that as much as 92 per cent. of thetotal proteid of plasmon cocoa is in a soluble state. Thecocoa used in plasmon is of excellent quality, possessing thewell-known cocoa flavour and aroma to a marked degreewhilst containing a minimum of fat-namely, 29’10 per

: cent. Since plasmon contains at most only a trace of fat,the fat present in plasmon cocoa is wholly derived from the

, cocoa mixed with it. These figures would accordingly showthat plasmon cocoa contains 35’43 per cent. of cocoa and


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