Fractures and dislocations are ably and fully discussed, as their importance warrants. Operative surgery is given in separate sections, and this method will commend itself wherever the book is cited for authority, whether in the surgeon's operating room or in the surgical laboratory. The illustrations are quite numerous, and taking it altogether the book is a decided credit to the author and the publishers.

CLINICAL EXAMINATION OF THE URINE, AND URINARY DIAGNOSIS. A clinical Guide for the Use of Practitioners and Students of Medicine and Surgery. By J. Bergen Ogden, M. D., Instructor in Chemistry, Harvard University Medical School; Assistant in Clinical Pathology, Boston City Hospital; Medical Chemist to the Carney Hospital; Visiting Chemist to the Long Island Hospital, Boston. Illustrated. Philadelphia and London: W. B. Saunders & Company. Price $3.00 net.

The author has succeeded admirably in presenting a work that furnishes the student and practitioner with a complete clinical guide to urinary diagnosis in a single volume in compact and convenient form. The subject is considered in two parts: First, chemic and microscopic methods, made so plain that the student and practitioner will need no special training in urinary analysis to secure accurate results; second, diagnosis, which includes present knowledge of the urine, the diagnosis and differential diagnosis of disturbances and diseases of the kidneys and urinary passages, local or general, medical or surgical, together with a brief enumeration of the prominent clinical symptoms of each disease, and the peculiarities of the urine in certain general diseases of the body. It is a valuable work.

A TEXT-BOOK OF PATHOLOGY. By Alfred Stengel, M. D., Professor of Clinical Medicine in the University of Pennsylvania; Physician to the Philadelphia Hospital; Physician to the Children's Hospital, Philadelphia, etc. With 372 Illustrations. Third edition, Revised. Philadelphia and London: W. B. Saunders & Company. Price cloth $5.00 net; half morocco $6.00 net.

The reason for the revision of Dr. Stengel's book on pathology was to bring the subjectmatter up to date, and, particularly, to considerably amplify the sections on pathologic physiology. The revision was carefully made, and this, the third edition, is all that any physician could expect in a work on the important subject of pathology. The author was greatly assisted in his revision of the sections on neuropathology by Dr. Joseph Sailer. The subjects discussed are presented in a practical form, and always from the point of view of the clinical pathologist.

A TEXT-BOOK OF THE PRACTICE OF MEDICINE. By James M. Anders, M. D., Ph. D., LL. D., Professor of the Practice of Medicine and of Clinical Medicine in the Medico-Chirurgical College, Philadelphia; Attending Physician to the Medico-Chirurgical and Samaritan Hospitals, Philadelphia, etc. Illustrated. Fourth Edition, thoroughly Revised. Philadelphia and London: W. B. Saunders & Company. Price, cloth $5.50 net; half morocco $6.50

net.

It was remarkable how quickly the third edition of Dr. Anders' book on the practice of medicine was exhausted. It was only a little over a year ago that the third edition was presented, but it has already been exhausted, and now the fourth edition makes its appearance. Many changes have, of course, been made, and considerable new matter has been added. The arrangement of the subject-matter has been considerably improved for the convenience of the student and practitioner. Modern methods of diagnosis, as well as most recent advances in therapeutics, have been introduced.

The general scope of the work is to introduce the student to the present state of knowledge of the practice of medicine in general, and of the diagnosis, differential diagnosis, and treatment of disease in particular. An immense amount of medical literature has been consulted in the preparation of the book in order to bring it up to date, which will be duly appreciated by users.

MODERN MEDICINE. By Julius L. Salin

ger, M. D., Demonstrator of Clinical Medicine, Jefferson Medical College; Chief of the Medical Clinic, Jefferson Medical College Hospital; Attending Physician to the Philadelphia Hospital-and Frederick J. Kalteyer, M. D., Assistant Demonstrator of Clinical Medicine, Jefferson Medical College; Hematologist to Jefferson Medical College Hospital; Pathologist to the Lying-in Charity Hospital, Philadelphia; Assistant Pathologist to the Philadelphia Hospital. Illustrated. Philadelphia and London: W. B. Saunders & Company. Price, cloth $4.00 net; half morocco $5.00 net.

The authors of this new work on modern medicine considered it advisable to consolidate in one volume the consideration of physical diagnosis, bacteriology, the examination of the gastric contents, the urine, the blood, and the feces, and other topics, which intention was successfully accomplished. They were also fortunate in their aim to give the main facts in regard to etiology, pathology, symptomology, diagnosis, prognosis, and treatment as considered from a modern and generally accepted standpoint. All the modern medical works in several languages have been consulted in the preparation of the letter-press.

SAUNDERS' POCKET MEDICAL FORM

ULARY. With an Appendix containing Posological table; Formulae and Doses for Hypodermic Medication; Poisons and their Antidotes; Diameters of the Female Pelvis and Foetal Head; Obstetrical Table; Diet List for various Diseases; Materials and Drugs used in Antiseptic Surgery; Treatment of Asphyxia from Drowning; Surgical Remembrancer; Tables of Incompatibles; Eruptive Fevers; Weights and Measures, etc. By William M. Powell, M. D., Author of "Essentials of Diseases of Children;" Member of the Philadelphia Pathological Society, etc. Sixth Edition, thoroughly Revised. Philadelphia and London: W. B. Saunders & Company. Price $2.00 net.

This handsome little book for the pocket 4 x 61⁄2 inches, and 34 of an inch thick, bound in serviceable leather with flap, cannot be too highly recommended. It is chock full of the finest collection of formulæ for the various diseases ever published, and many blank pages are left scattered throughout the book for users to introduce private prescriptions. Some two hundred formulæ have been added in this edition, and the dose-table is brought up to date. The book forms an invaluable aid to any physician, and its low price will no doubt place it in the hands of all progressive practitioners.

SURGICAL PATHOLOGY AND THERA

PEUTICS. By John Collins Warren, M. D., LL. D., Professor of Surgery in Harvard. University; Surgeon to the Massachusetts General Hospital. Illustrated. Second edition, with an Appendix containing an Enumeration of the Scientific Aids to Surgical Diagnosis, together with a Series of Sections on Regional Bacteriology. Philadelphia and London: W. B. Saunders & Company. Price, cloth $5.00 net; half morocco $6.00 net.

It has been truthfully said that no young practioner is well equipped for surgical work who is not both a good pathologist and an expert bacteriologist. In Dr. Warren's work pathological conditions are closely associated with symptoms and treatment of surgical diseases. Students are impressed thereby with the value of these lines of study as a firm foundation for good clinical work. In this, the second edition, a new appendix replaces the old one of the first edition, and the matter on antiseptic surgery is exceedingly complete. The book is handsomely illustrated, and the colored plates are exceptionally fine. It will be found not only very serviceable to the general practitioner, but to specialists in several of the departments of

surgery.

SAUNDERS' QUESTION COMPENDS— "ESSENTIALS OF HISTOLOGY." By Louis Leroy, B. S., M. D., Professor of His

tology and Pathology in Vanderbilt University, Medical and Dental Departments; City Bacteriologist to Nashvile, Tenn.; Bacteriologist to the State of Tennessee, etc. Arranged with Questions following each Chapter. Seventy-two Illustrations. Philadelphia: W: B. Saunders & Co. Price $1.00 net.

This is another of that excellent series of question compends published by the Saunders company. It will be found quite convenient for the practitioner who is a little rusty in the study of the important topics discussed. The statement is clear, regardless of the fact that it was necessary to enormously condense. Students will find that in the use of this little work voluminous notes will practically be unnecessary.

A REVIEW OF RECENT LEGAL DECISIONS affecting Physicians, Dentists, Druggists and the Public Health, together with a Brief for the prosecution of Unlicensed Practitioners of Medicine, Dentistry, or Pharmacy, with a Paper upon Manslaughter, Christian Science and the Law, and other Matter. By W. A. Purrington, of the New York Bar; Counsel of the Dental Society of New York, and Lecturer of Medical and Dental Jurisprudence in the New York College of Dentistry, and one of the Collaborators in "A System of Legal Medicine," by Allan McLane Hamilton, and others, etc. New York: E. B. Treat & Company, 241-243 West 23d street. Price 50 cents.

Of recent years so many cases have been brought into court by vicious and otherwise inclined persons against physicians of the highest standing that it is often important to have for ready reference a compilation of past decisions. Such a compilation has been prepared by the author of the above work, and the low price at which it is sold should give it a tremendous sale among medical men.

A POCKET MEDICAL DICTIONARY. Giving the Pronunciation and Definition of the Principal Words used in Medicine and the Collateral Sciences. Including very complete Tables of Clinical Eponymic Terms, of the Arteries, Muscles, Nerves, Bacteria, Bacilli, Micrococci, Spirilla, and and Thermometric Spirilla, and Thermometric Scales, and a Dose List of Drugs and their Preparations, in both the English and Metric Systems of Weights and Measures. By George M. Gould, A. M., M. D., Author of "The Illustrated Medical Dictionary," "The Student's Medical Dictionary"; President, 1802-1894, American Academy of Medicine. Fourth Edition, Revised and Enlarged. Thirty thousand Words. Philadelphia: P. Blakiston's Son & Co. Price $1.00.

This little volume is handsomely bound leather, and is 31⁄2 by 6 inches in size, and I inch in thickness- a very convenient book to carry in

the pocket. Much new matter has been added to the fourth edition, and taking it altogether users will find it exceedingly useful for hurried e sultation. The words defined are those of the living medical literature, all obsolete words of course having been omitted.

A PRACTICAL TREATISE ON MATERIA MEDICA AND THERAPEUTICS. By Roberts Bartholomew, M. A., M. D., LL.D., Professor Emeritus of Materia Medica, General Therapeutics, and Hygiene in the Jefferson Medical College of Philadelphia; formerly Professor of Materia Medica and Therapeutics and of the Practice of Medicine in the Medical College of Ohio; Fellow of the College of Physicians of Philadelphia; Member of the American Philosophical Society; Honorary Fellow of the Royal Medical Society of Edinburgh; Honorary Member of the Société Medico-Pratique de Paris, and of various National. State, and County Medical Societies. Author of a Treatise on the Practice of Medicine; of a Treatise on Medical Electricity; of a Manual of Hypodermatic Medication; of the Russell and Jewett Prize Essays, and Prize Essays of the American Medical Association and of the Rhode Island Medical Society, etc. Ninth Edition, Revised and Enlarged. New York: D. Appleton & Company. Price, cloth $5.00; sheep, $6.00.

A writer on materia medica must of necessity do an immense amount of detail work in looking up authorities and a deluge of medical literature. Recent work in this line must take into consideration so many new pharmaceutical preparations that it would seem well-nigh impossible for any one person to cover the ground in a concise manner, but the author of the above has done remarkably well in his efforts, for he has presented a compilation in such an interestingly readable manner that he has robbed the subject of much of the usual dryness. But the present book is the tenth edition, which is brought up to date, and, of course, includes much new matter.

AN AMERICAN TEXT-BOOK OF PHYSIOLOGY. By Henry P. Bowditch, M. D.; John C. Curtis, M. D., Henry H. Donaldson, Ph. D.: W. H. Howell, Ph. D., M. D.; Frederic S. Lee, Ph. D.; Warren P. Lombard, M. D.; Graham Lusk, Ph. D., F. R. S. (Edin.); W. T. Porter, M. D.; Edward T. Reichert, M. D.; Henry Sewall, Ph. D., M. D. Edited by William H. Howell, Ph. D., M. D., Professor of Physiology in the Johns Hopkins University, Baltimore, Md. Second Edition, Revised. Philadelphia and London: W. B. Saunders & Company. Price, Vol. I, $3.00 net.

The contents of the first volume of the above work embrace the subjects: Blood, Lymph, and

Circulation; Digestion, Secretion, and Nutrition; Respiration and Animal Heat; and Chemistry of the Body.

The Contributors to this volume are, John G. Curtis, M. D., Prof. of Physiology in Columbia University (College of Physicians and Surgeons); W. H. Howell, Ph. D., M. D., Prof. of Physiology in the Johns Hopkins University; Graham Lusk, Ph. D., F. R. S. (Edin.) Prof. of Physiology in the Yale Medical School; W. T. Porter, M. D., Assistant Professor of Physiology in the Harvard Medical School; Edward T. Reichert, M. D., Prof. of Physiology in the University of Pennsylvania.

The above names are sufficient for the profession to realize that the work has been thoroughly prepared, and that the reader will find the instruction fully up to the most modern and accepted ideas concerning the various subjects. treated.

CHRISTIAN SCIENCE. An Exposition of Mrs. Eddy's Wonderful Discovery, including Its Legal Aspects. A Plea for Children and other Helpless Sick. By William A. Purrington, Lecturer in the University and Bellvue Hospital Medical College, and in the New York College of Dentistry upon Law in Relation to Medical Practice, one of the Authors of "A System of Legal Medicine." New York: E. B. Treat & Co., 241-243 West 23d street. Price $1.00.

The author of the above work has thoroughly exposed the weakness of any argument in favor of treating disease by the Christian scientists (so-called). He has cited cases to prove all the statements he has made as to the folly of

trusting the sick in their hands, and sufficient to satisfy any one not so blind that he will not see the truth when presented in the strongest and clearest light.

A HANDBOOK FOR NURSES. By J. K. Watson, M. D., Edin., late House-Surgeon, Essex and Colchester Hospital; Assistant House-Surgeon, Sheffield Royal Infirmary and Sheffield Royal Hospital. American Edition, under the supervision of A. A. Stevens, A. M., M. D., Professor of Pathology in the Woman's Medical College of Pennsylvania; Lecturer on Physical Diagnosis in the University of Pennsylvania; Physician to St. Agnes' Hospital, Philadelphia. Philadelphia and London: W. B. Saunders & Company. Price $1.50.

We are aware that it is a very difficult matter to write a book expressly for nurses, but in the present instance the author has struck the happy medium in the matter of scope, neither too much is offered for the nurse nor too little. The matter is not too profound for the needs of the nurse, nor too superficial for practical value. It is a compact presentation of the subject by a man

thoroughly versed in hospital and home work. among the sick.

SAUNDERS' MEDICAL HAND-ATLASES -ATLAS OF THE EXTERNAL DISEASES OF THE EYE. Including a brief Treatise on the Pathology and Treatment. By Prof. Dr. O. Haab, of Zürich. Authorized translation from the German. Edited by G. E. de Schweinitz, A. M., M. D., Professor of Ophthalmology in the Jefferson Medical College, Philadelphia; Consulting Ophthalmologist in the Philadelphia Policlinic; Ophthalmic Surgeon to the Philadelphia Hospital and to the Orthopedic Hospital and Infirmary for Nervous Diseases. With 76 Colored Plates and 6 Engravings. Philadelphia and London: W. B. Saunders & Company. Price $3.00 net.

The exquisite colored plates showing many of the external diseases of the eye in this handy volume cannot be too highly praised as results of the illustrator's art in delineating from nature, for they are nearly all from actual cases that came to the clinics under charge of the author. The book forms an excellent companion-book to Dr. Haab's "Atlas of Ophthalmoscopy and Ophthalmoscopic Diagnosis." It is one of the excellent series of Saunders' Series of Atlases.

OTHER BOOKS AND REPRINTS
RECEIVED.

"Aortic Regurgitation with Remarks upon Flint's Murmur and Paroxysmal Sweating," by Alfred Stengel, M. D., Philadelphia, Pa., Professor of Clinical Medicine, University of Pennsylvania.

"Abortion," by A. D. Wilkinson, M. D., Lincoln, Neb.

"The Diagnosis of Chlorosis and ChloroAnemia," by Alfred Stengel, M. D., Philadelphia, Pa.

"The Immediate and Remote Effects of Athletics upon the Heart and Circulation," by Alfred Stengel, M. D., Philadelphia, Pa.

"Acute Enlargement of the Thyroid Gland, with Report of a Case," by Alfred Stengel, M. D., Philadelphia, Pa.

"The Diseases of the Blood in Their Relation to Surgery, and Their Treatment," by George G. van Schaick, M. D., New York City.

"Medicine as a Business Proposition," by G. Frank Lydston, M. D., published by The Riverton Press, 132 Market street, Chicago, price 25 cents.

"Some Points in the Management of Obstetrical Cases in Private Practice," by Joseph Brown Cooke, M. D., New York City.

"An Essay on the Reduction of Obesity, with Special Reference to the Use of Granular Effervescing Salts of Vichy and Kissingen," by William T. Cathell, A. M., M. D., Baltimore.

"Pachymeningitis," report of a case and

autopsy, by Samuel E. Earp, M. S., M. D., and John T. Scott, M. D., of Indianapolis.

"A Crushable Button as an Aid to Suturing in Intestinal Anastomosis," by R. C. Coffey, M. D., Portland, Ore.

"Hemorrhage and Circulatory Disturbances in Complicated Fracture;" "The Management of Large Congenital Exomphalos-Infantile;" "On Radical or Tentative Treatment of Piles;" "The Therapy of Feminine Hernia in the Adult," by Thomas H. Manley, M. D., New York City.

"Annales des Sciences Naturelles. Zoologie et Paleontologie," by M. Edmund Perrier, Tome, Nos. 2 to 6. Paris: Masson et Cie, Editeurs. PROFESSIONAL TACT AND HOW TO ACQUIRE IT.

In acquiring tact, it is by no means an empty phrase to say that the heart must help the head. Certain mental gifts are necessary to produce it. the most important of which is imagination. Without this quality one is unable to look at a situation from the standpoint of another, or to weigh and measure the effect of words or actions upon another's feelings. So essential a factor is imagination that it is doubtful whether a person lacking it can ever become scientifically tactful. It is this factor which, in a flash, shows one the effect which is being produced upon the minds of others as clearly as the image falls upon the lens of the camera, and thus opens the way for tact to meet the occasion. Sympathy and imagination might well be called the mainsprings of tact.

There is in addition to these what may be called the merely mechanical part, which can be acquired as the fingers of the musician can be trained by actual practice. It consists principally in the habit of giving complete attention to what is transpiring at the moment. This enables a physician, for instance, to understand and adjust himself to the individualities of his patient, and to gain the mental quickness which responds at once and appropriately. We have all realized the difference between talking with a fine conversationalist who has this habit of attention. which secures a quick comprehension and response to the thoughts of others, and attempting to make one's way against the inattention and wide remarks of a listener whose mind is constantly wandering to other and irrelevant things. The habit of concentration is essential to the acquirement of tact, which, in its highest usefulness, is protective, and is often interposed as a shield to receive and turn aside any objection or contention which might arise.

It would be unprofitable even to suggest orcasions upon which tact might be used to advantage in the medical profession. No two cases are exactly the same, and each one must be judged entirely upon its own merits. Contrary to the conception held by some practitioners. the highest type of tact does not run away from but parallel to perfect truth, though it may por

tray that truth in bright or sombre colors as may befit the individual patient or the case in hand. Tact is not "smartness," nor will it effectively cover up the tracks which "smartness" is morally sure to leave. Speaking generally, it may be said that a tactful physician will have every appearance of being sincere in and well adapted to his calling. He will show the same respect to all, whether patients or their friends, or not. He will be openly at the service of his patients, when it is proper that he should be so, and they will not fear to take up a trifle of his time and attention in a reasonable manner. He will not insist upon displaying his professional knowledge at all times, but will do so boldly when it is meet that he should. If he is called upon to venture either word or act in his special capacity, he will do so gracefully and cautiously; and if not correct he will be quick to discover the error, and instant in rectifying it, with little or no comment. He will be supercilious to no one, either patient or visitor; he will gain friends and patients wherever either can reasonably be gained, and will leave a favorable impression of himself and his professional standing in the minds of all with whom he comes into contact.-Medical Age.

ADRENAL.

An aqueous extract of the suprarenal gland is favorably spoken of as a hemostatic and vasomotor constrictor. Dr. Somers, of Philadelphia (Merck's Archives), concludes an interesting paper on the subject, based upon his experience with the drug in the lower animals, and four hundred and fifty cases in hospital and private practice, as follows:

1. The aqueous extract of the suprarenal gland is the most powerful astringent and vasomotor constrictor that we possess.

2. Its action is peripheral, is exerted directly on the vessel walls and basement membrane, and is limited only to the parts with which the drug comes in contact.

3. Is non-toxic, non-irritating, cannot produce a vicious habit, and may be repeatedly used on the same individual without losing its .power.

4. It prevents to a marked extent the toxic effects of local anesthetics by retaining them in the tissues and preventing absorption.

5. The aqueous extract readily decomposes on account of the large amount of animal matter present, but the degree of putrefaction in no way impairs the physiological activity.

6. It first blanches and then contracts mucous tissues, and will subdue active or passive inflammation.

7. Its activity is not impaired by boiling and it may be repeatedly sterilized in this manner, while carbolic acid will preserve the solutions indefinitely and in no way impair their value.

8. It will prevent primary, and greatly lessen danger of secondary, hemorrhage.

9. Its action is manifested in twenty seconds, attains its maximum in five minutes, and lasts from one and one-half to twenty-four hours.

10. It increases the tonicity of the parts, augments the action of other drugs, especially cocaine, and diminishes post-operative swelling.

II. Markedly restricts exuberant granulation tissue wherever situated.

12. Finally, diminishes secretion and aids in more rapid healing.

It is generally agreed that when applied to a mucous membrane the parts become shrunken and are rendered absolutely bloodless. The condition of absolute blanching is secured in five minutes after the application is made. The drug seems to be indicated in hay fever, nasal hydrorrhoea, and bleeding from mucous surfaces. -Miss. Med. Record.

FISTULA IN ANO.

The conclusions of Samuel G. Gant, M. D., Medical Record, July 7, 1900:

I. Tubercular fistula of the anus is usually secondary to tubercular disease of the lungs.

2.

Pulmonary phthisis is rarely, if ever, secondary to fistula in ano, either before or after operation.

3. Tuberculosis of the anal region should be dealt with radically, as is recommended when it attacks other parts.

When the patient's general condition will permit we should operate on all fistulæ, irrespective of the kind.

5. We should not refuse to operate on persons suffering from a mild form of phthisis, nor on those who give a family history of tuberculosis. Certainly if we arrest one destructive process, nature is all the more capable of dealing with the others.

6. I believe that those patients operated on for tuberculous fistula and those that are nontuberculous, complicated by phthisis, who rapidly decline and die, do so as the result of an inflammation of the lungs induced by the anesthetic, especially ether. Such accidents have not followed any of the operations which I have made under a local anesthetic.

7. Lastly, I believe we are justified in discarding the erroneous teachings of writers who believe that the cure of a fistula will result in a development of phthisis.-Chicago Clinic.

Even the moving picture has become an accessory to medicine and surgery, for one hospital in New York has adopted a camera to record minutely the action of patients in epileptic fits and similar affections, and many moving pictures have been taken, showing the movements in walking of persons afflicted with locomotor ataxia. They are produced slowly on the screen, so that physicians are enabled to study the symptoms carefully. Moving pictures have been taken in Vienna, showing operations being porformed by great surgeons.