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J. A. (Joel Asaph) Allen.

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New York : William Wood & Co. 1892.

The authors of this important work have long been before the
profession as careful and painstaking writers and investigators.
The previous editions of this hand-book have been noticed in the
Journal, from time to time, as they have appeared from the press,
and we have only to reiterate the favorable judgment we gave upon
them and intensify it as applied to this fourth edition, now before
us. The authors state that it is intended that the student and
practitioner shall find in it the information which they need to
enable them to perform autopsies, preserve tissues, and prepare them
properly, and to examine them with the microscope. We believe
neither the student nor the practitioner will be disappointed in
the promise here made. The work comprises instructions in the
method of making post-mortem examinations, of preserving its
tissues, of preparing them for microscopical examination, and of
examining and cultivating bacteria. It also gives the action of the
lesions in the different parts of the body, of infectious and general
diseases, of violent deaths, and of poisoning ; of the changes of
inflammation and degeneration, and of the structures of tumors.
All these pathological and histological subjects are treated of
with a clearness that challenges the admiration of the writers.
The work, as heretofore, is well illustrated, and all of the draw-
ings have been made by the authors themselves. This adds very
much to their clearness, and elucidates the points of the text,



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INTERNATIONAL CLINICS. 57

which they aim to elaborate, in an unusual satisfactory manner,
while all the color drawings are exceedingly well done. We need
not demand an analytical review of the work that has been done so
well, and so favorably received by the profession in three previous
editions, but desire to commend this fourth and improved edition
in an emphatic way. It should be possessed by every one inter-
ested in the subjects of which it treats.



International Clinics. A Quarterly of Clinical Lectures on Medi-
cine, Neurology, Pediatrics, Surgery, Genito-Urinary Surgery,
Gynecology, Ophthalmology. Laryngology, Otology, and Derma-
tology. By professors and lecturers in the leading medical colleges
of the United States, Great Britain, and Canada. Edited by John
M. Kbatinq, M. D.. LL. D., Colorado Springs, Col. : Fellow of
College of Physicians, Philadelphia ; formerly Consulting Physician
for Diseases of Women to St. Agnes^ Hospital ; Gynecologist to St.
Joseph's Hospital ; Visiting Obstetrician to the Philadelphia Hos-
pital, and Lecturer on Diseases of Women and Children, Phila-
delphia; Editor Cyclopedia of the Diseases of Children. Judson
Daland, M. D., Philadelphia ; Instructor in Clinical Medicine, and
Lecturer on Physical Diagnosis, and Symptomatology in the Univer-
sity of Pennsylvania ; Assistant Visiting Physician to the University
Hospital ; one of the P^xamlners of the Insane to the Philadelphia
Hospital ; Visiting Physician to St. Clement's Hospital, Phila-
delphia. J. Mitchell Bruce. M. D., F. R. C. P.. London, England.
Physician and Lecturer on Therapeutics at the Charing Cross
Hospital. David W. Finlay, M. D., F. R. C. P.. Aberdeen, Scot-
land, Professor of Practice of Medicine in the University of Aber-
deen ; Physician to, and Lecturer on, Clinical Medicine in the
Aberdeen Royal Infirmary ; Consulting Physician to the Royal
Hospital for Diseases of the Chest, London. Volume I. Third
series. Royal octavo, pp. xi. — 856. Philadelphia : J. B. Lippin-
cott Co. 1893.

The popularity of this class of periodical literature is attested by
the fact that the present year opens with the beginning of the third
series of these books. Volume I. is printed and bound in the same
form as the preceding numbers of the second and third series, and is
a continuation of the same interesting group of literatures. This
volume contains a clinical lecture by Dr. Charles 6. Stockton, of
Buffalo, on Chloride of Gold and Sodium in the Treatment of
Senile Fatty Change and Chronic Joint-Affections. This is a new
therapeutical application to this intractable class of maladies, and
Dr. Stockton's success in the twelve or more cases which he
reports is deserving of consideration. He says : " I have seen
enough to warrant me in saying that in old lithemic patients quite
uniform improvement in all ways apparently follows the use of



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58 REVIEWS.

this medicine continued for several weeks or months." Other
contributors to this volume are Dr. Roswell Park, on Brachial
Cysts and Bilateral Sciatic Nerve Stretching ; Dr. M. D. Mann, on
Traumatic (non-septic) Fever following Laparatomy ; Dr. Charles
Cary, on Tricophytosis Leucoderma, and a case of Syphilis.
Among other interesting lectures we may mention one by Dr.
William Easterly Ashton, on Nephritic Abscess, Caused by Calculi,
and another on Abdominal Section, by Dr. E. E. Montgomery.
Whosoever has obtained the preceding volumes will be anxious to
add this one to his library.



A Hakd-Book op Local Therapeutics. General Surgery. By
Richard H. Harte, M. D., Demonstrator of Osteology and Syndes-
mology, University of Pennsylvania ; Surgeon to the Episcopal and
St. Mary's Hospitals ; Consulting Surgeon to St. Timothy's Hospital.
Diseases of the Skin. By Arthur Van Horlingen, M. D., Pro-
fessor of Diseases of the Skin in the Philadelphia Polyclinic and
College for Graduates in Medicine ; late Clinical Lecturer on Der-
matology in Jefferson Medical College ; Dermatologist to the How-
ard Hospital. Diseases of the Ear and Air-passages. By Harrison
Allen, M. D., Consulting Physician to the Rush Hospital for Con-
sumption ; late Surgeon to the Philadelphia and St. Joseph's Hos-
pitals. Diseases of the Eye. By George C. Harlan. M. D., Surgeon
to Wills' Eye Hospital and to the Eye and Ear Department of the
Pennsylvania Hospital ; Emeritus Professor of Diseases of the Eye,
Philadelphia Polyclinic, etc. Edited by Harrison Allen, M. D.
Octavo, pp. xxvil — 605. Price, $4. Philadelphia : P. Blakiston,
Son & Co., 1012 Walnut street. 1893.

The field of therapeutics has improved its literature to a vast
extent within the last decade. Greneral treatises have been revised, '
enlarged, and brought down to the present, while encyclopedic
works have been put forth. This is the first attempt on the part
of any author to issue a work on the local action of drugs, and on
this account it will command great attention. It must be admitted
in favor of this work, that text-books generally are meager in their
treatment of the subject, and especially do they omit to mention
many agents that specialists find valuable in the treatment of dis-
ease. There is a large catalogue of diseases requiring local treat-
ment, and sometimes general management is either unnecessary or
subordinate to the local application of agents. On this account,
the work before us will prove of value to specialists and teachers,
if not to general practitioners. In it, each remedy has been elabo-
rately set forth by different authors, most of whom can boast of
great experience in their several departments. One of the useful



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cabmichael: diseaskb in children. 59

features of the book is, that each remedy has been taken up in
alphabetical order, beginning with the description of its phar-
maceutical properties and value, then a consideration relating to its
physiological effect and its application and value in local treatment.
We note that some of the drugs heretofore considered of local
value have been omitted, while many of the newer drugs have been
added to the list of local remedies. The increasing knowledge of
asepsis and antisepsis brings out many drugs that otherwise would
be assigned to innocuous desuetude, and has relegated others to a
second or third place, or wiped them out altogether as remedies.
The book is carefully and doubly indexed, one being of remedies
and the other of diseases. It is well printed on good paper, and
cannot fail to be easily worth the price asked by the publishers.



Disease in Children. A manual for students and practitioners. By
James Carmichael, M. D., F. R. C. P., Ed., Physical Royal Hospital
for Sick Children ; University L#ecturer on Disease in Children,
Edinburgh. Illustrated with thirty-one charts, pp. xvi. — 591.
Small octavo. New York : D. Appleton & Co. 1893.

It is important that the literature relating to the diseases of
children should be kept fresh by the frequent appearances of text-
books and manuals, written by competent observers and authors.
There is no more important department in medicine than that
relating to the diseases of the young, and it ought to be the pride
of every physician engaged in general practice to familiarize him-
self with the manifestations of the maladies of those who are too
yoang to describe their symptoms with intelligence and clearness.
These helpless little ones appeal to the sympathy of humanity every-
where, and in no walk of life more than to the physician. One of the
most important questions that sanitarians have to deal with is that of
school hygiene, and pathology. In other words, the prevention of
disease in children is even more important than a knowledge for
its care. Carmichael has very properly begun his talk with a
chapter or two on these subjects, and though it is here but briefly
discoursed upon, yet they contain elements for much thought, and
should stimulate writers into prompt and timely action. The
aathor deals on a comparative extension on disorders of the
nervons system to which children are liable. We believe that this
is an important branch in the diseases of children, and should be
taaght with much elaboration. An appendix to the work gives
formalffi for the proper preparation of certain foods and medicines,
and a useful index furnishes the references given of value.



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60 BOOKS BBCEIYED.

The Yeab-Book of Tbbatment fob 1893. A Critical Review for
Practitioners of Medicine and Surgery. A series of contributions
by twenty-two writers. In one 12mo volume of 500 pages. Cloth,
$1.50. Philadelphia : Lea Brothers & Co. 1893.

For nine years this important annual has appeared, and it is
not stating the matter over-strongly to assert that it has improved
year by year up to the present time. The improvements in the
several departments of medicine and surgery, that have taken
place during the past year, are recorded in this book in a most
accessible manner and in agreeable form. As we have heretofore
Baid, so we now repeat, that it is one of the most satisfactory year
books of treatment that presents itself for the favor of the profes-
sion. It is one of the necessary books of reference, and easily
finds a place on the book-shelves of every physician, whether gen-
•eral practitioner or specialist.



BOOKS RECEIVED.



Recent Developments in Massage — Historical, Physiological, Medi-
cal, and Surgical. By Douglas Graham, M. D., Boston, Mass., Fellow
-of the Massachusetts Medical Society, Member of Alumni Association
of Jefferson Medical College, of the American Medical Association, of
the British Medical Association, etc. Physicians^ Lieisure Library.
Second edition ; illustrated. Issued monthly ; price, single copies,
twenty-five cents, George S. Davis, Detroit, Mich. 1893.

Electro-Therapeutics of Neurasthenia. By W. F. Robinson, M. D.
Physicians^ Leisure Library, issued monthly ; subscription price, $2.50 ;
single copies, twenty-five cents. George S. Davis, Detroit, Mich.
1893.

Impotence and Sexual Weakness in the Male and Female. By
Edward Martin, A. M., M. D., Surgeon to the Howard Hospital ; Clini-
•cal Professor of Genito-Urinary Surgery, University of Pennsylvania.
Physicians^ Leisure Library. Price, single copies, twenty-five cents.
George S. Davis, Detroit, Mich. 1893.

Eighteenth Annual Report of the Secretary of the State Board of
Health of the State of Michigan, for the fiscal year ending June 30.
1890. Lansing: Robert Smith & Co.. State Printers and Binders.
1892.

Cholera : Its Causes, Symptoms, Pathology and Treatment. By
Roberts Bartholow, M. D., LL. D., Emeritus Professor of Materia
Medica, General Therapeutics, and Hygiene, in the Jefferson Medical
College of Philadelphia. In one 12mo volume of 127 pages, with nine
engravings. Cloth, $1.26. Philadelphia: Lea Brothers & Company.
>1893.



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f



LITBRABT NOTES. 01

Itiferar^ Rofai*.



Hkbkia, Its Radical and Tentatiye Treatment in Infants, Chil-
dren, and Adnlts. By Thomas H. Manley, A. M., M. D., Visiting
Surgeon to Harlem Hospital ; Consulting Surgeon to the Ford-
ham Hospital, etc., etc. This work is illustrated by sixty-five
•ngrayings and drawings, with a full history of the ancient and
modem operations for the hernial infirmity of every type, in both
sexes, along with a full description of the varied anatomical types
of the condition and the multiplicity of technique of modern times.
It also embraces an entire chapter on Cocaine Analgesia, as a
substitute for Pulmonary Anesthesia, with a full and complete set
of rules for its indications and technique. Price, $3 ; mailed to
any address. Published by the Medical Press Co., Limited, 1725
Arch street, Philadelphia, to which all orders should be addressed.



Physical Education fpr June (published at Springfield, Mass. ; $1
per year), is a number of unusual interest. An article on The
Gymnastic Treatment of the Feeble Minded shows how, through
the connection of exercise of muscle, it is possible to exercise and
thus develop those parts of the brain that have to do with muscu-
lar contraction, and that thus, as well as in other ways described^
the brain can be stimulated to develop. That this is not mere
theory, is shown by the fact that Dr. Gulick, the writer, is describ-
ing simply what he has himself done, giving the reasons for it.

A continued article, by Dr. Hitchcock, of Cornell, and R. F.
Nelligan, of Amherst, is on Wrestling, and consists mainly of illus-
trations taken from life, showing the various holds and breaks in
the catch-as-catch-can style.

Besides these and major articles, there is much of minor interest.



The Cosmopolitan offers $1,500 in four prizes, of $1,000, $300,
$100, and $100, respectively, for the four water colors which shall
be chosen by a committee from such drawings as may be
submitted by the artists of the United States or Europe, on or
before twelve o'clock on the Ist day or December, 1898. The
subjects are to be selected from the life of Christ, taking those
scenes which teach in the highest forms the lessons of love,
patience, humility, and forbearance, with fidelity, as far as may be.



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62 LITERARY NOTES — MI60ELLANY.

to the actual 8urroandings and conditions of the period. The
treatment should be calculated for single-page reproduction in The
Cosmopolitan^ in size five by eight inches. The subjects to be
suitable, as far as possible, for use in stained glass for church or
cathedral. The originals for which prizes are awarded will
become the property of The Cosmopolitan. The drawings should
be shipped, securely packed, and addressed : " Submitted to Art
Committee, Cosmopolitan Magazine^ Sixth avenue and Eleventh
street. New York," and in the upper lef ^hand comer : " Not to be
opened before the 1st day of December, 1893."



A Literary Sensation. — «* Uncle Tom's Cabin" has certainly
" broke loose" ! The copyright of this most famous of American
novels, by Mrs. Stowe, has recently expired, which frees its
publication from the monopoly of the high-priced publishers, and
though in anticipation of this fact they have within a few months
greatly reduced its price, now that it is really ^^ unchained," the
consequences are something surprising. John B. Alden, publisher,
of New York, issues several editions, selling them only direct
(not through agents or booksellers) ; one in good type, paper
covers, for 5 cents, sent post-paid, or the same bound in cloth for
10 cents, with postage 7 cents extra ; also an excellent large-type
edition, on fine paper, handsomely bound in cloth for the price of 25
cents, postage 10 cents. Surely a copy of " Uncle Tom's Cabin " will
soon be found in every home where it is not already. Mr. Alden
sends a thirty-two page pamphlet describing many of his publications
free, a catalogue of 128 pages of choice books, a veritable ^' literary
gold mine " for book-lovers, for 2 cents. Address John B. Alden,
publisher, 57 Rose street, New York.



MiAceffan^.



The Pan-American Medical Congress Excursion to Rome. — It
has been definitely determined that the Pan-American Medical
Congress Excursion to the Eleventh International Medical Con-
gress will sail on the S. S. "Werra," from New York, September
9th, the day following the adjournment of the Congress at Wash-
ington, and will arrive at Genoa, September 20th, four days before
the opening of the Rome m* eting.



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MISCELLANY. 63

Round-trip steamer tickets may be procured for $142.50 for
inside rooms, and $150.00 and upwards for outside rooms. Tickets
are good for members of the Congress and their families, and may
be used at option of holder, to return on any steamer of the line
from 6eno, or on Saturday steamers from Bremen, or Sunday
steamers from Southampton, during the months of October,
'November, and December. Physicians desiring to avail them-
selves of this exceptionally low rate should at once become mem-
bers of the Pan-American Medical Congress by sending the regis-
tration fee ($10.00) to the Treasurer, Dr. A. M. Owen, Evansville,
Ind., and informing the Secretary -General, Dr. Chas. A. L. Reed,
Cincinnati, of their intention to join the excursion. Passage
should be secured without delay, as the trip, involving, as it will,
a stop at the Azores and Gibraltar and a sixty hours' sail along the
picturesque coasts of Spain, France, and Italy, promises to be very
popular. Many prominent European guests of the Pan-American
Congress will return on this occasion. The time allowed will
afford American physicians an opportunity to not only attend the
International Congress and visit Rome, but to extend their
journey to the famous sanatoria of South France and the
Riviera.



Officlal Delegates to the Pan-American Medical Congress.
— Practically all of the governments have appointed official dele-
gates to the Congress in response to the invitation by the President
of the United States. The United States Government will be repre-
sented by six delegates. The larger cities of all the Latin- American
countries have appointed delegates to participate in the proceed-
ings of the Sections on Hygiene, Climatology, and Demography,
and on Marine, Hygiene, and Quarantine, and similar appointments
will be made by the cities of the United States. Seventy-six
similar delegates have, so far, been appointed by the governors of
States in the United States. A large number of delegates have
been chosen by the medical colleges of the* United States and
other American countries to attend the Section on Medical Peda-
gogics, under the presidency of Professor J. Collins Warren, of
Boston.

Section on Materia Medic a and Pharmacology, Pan-Ameri-
can Medical Congress. — A Section on Materia Medica and



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64 MISCELLANY.

Pharmacology has been organized nnder the executive presidency
of Prof. Joseph P. Remington, of Long Port, N. J., with Prof. F.
6. Ryan, 3739 Brown street, Philadelphia, as English-speaking
secretary. This Section promises to be one of the most impor-
tant of the entire Congress. Delegates have been invited from all
the pharmaceutical societies and colleges in all the Americas.
Those contemplating attendance are invited to prepare papers on
pharmaceutical topics. Titles should be sent at once to Professor
Ryan, Secretary.



De. Ernst Hart, editor of the British Medical Journal^ and Prof.
Dr. Czerny, of Heidelberg, will be among the distinguished guests
of the Pan-American Medical Congress. The latter is booked for
the Pan-American excursion to Rome by the " Werra."



The Sterilization of Ophthalmic Instruments. — According to
the Medical I^ess and Circular^ M. Nuel, of Lidge, France, has
reported on the above subject, giving the results of his personal
researches. He has found that the use of boiling water has served
him as the surest and readiest method in regard to the major part
of his instruments. The antiseptic efficacy of thus plunging the
articles into boiling water is enhanced if to the water is added
some potash or soda, or even common salt. The recommendation
of Schimmelbusch is referred to, namely, to use a solution of car-
bonate of soda in a strength of one and one-half to two per cent.,
and this solution is suitable to be used in the cleansing of instru-
ments. The period of immersion may be three or four seconds in
the case of cutting instruments, while it should be prolonged
to thirty seconds for needles, forceps, and the like. The reporter
has used a variety of other recommended measures of sterilization,
but has given the preference to the boiling water method. — Jour-
nal American Medical Association,



Notice to Contributors. — We are glad to receive contributions
from every one who knows anything of interest to the profession. Arti-
cles designed for publication in the Journal should be handed in before
the first day of the month. The Editors are not responsible for the
views or opinions of contributors. All communications should be
addressed to the Managing Editor, 284 Franklin St., Buffalo, N. Y.



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Buffalo Medical I' Surgical Journal

Vol. XXXIII. SEPTEMBER, 1893. No. 2.

©rigiriaf (©ommuriicatioriA.

INTRAUTERINE ASPHYXIA,WITH REPORT OF THREE

CASES.

By GEO. F. HULBERT, M. D.,

Professor of Principles and Practice of Medicine and Clinical Gynecology, Marlon Sims
Ck>lIeKe of Medicine, St. Louis, Mo.

To THOSE who have had the experience of believing and declaring
that the child in utero was living and that everything was all
right, and looked forward to a happy termination of the parturi-
tion then in hand, may possibly from time to time realize the
chagrin and sense bf defeat, when, upon the birth, the child has
been found to be practically dead ; yet not dead, for the heart still
beats with a strong but slow pulsation. Every effort at resusci-
tation is resorted to ; you are cognizant of the fact of air penetra-
ting and distending the alveolar spaces, evidenced by the increased
vigor and rapidity of the heart pulsations ; and yet, in spite of that,
after long continued effort, we gradually see slip through our
hands the remaining spark of life, and the child is, in fact, dead.

It having been my good fortune, or misfortune, to have three
experiences of this character occurring in my obstetrical work, I
deemed it possibly of interest, and hope it will be of some value
and satisfaction, to those who have had, or may have, experience of
this kind, to peruse these cases and draw their deductions there-
from.

A similarity of circumstances and conditions appertaining to
the child, as well as to the mother and the character of the labors,
and the fact that the nojmal limits were not apparently encroached
upon in any respect, as well as the fact of the peculiar condition,
briefly detailed above, has emboldened me to call attention to the
conditions, and to place on record these cases, not that they are
especially new, or not but that many others may have had the same
or like experience, yet the fact remains that the literature does not



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66 HULBEET : INTEA-UTKEINE A.SPHYXIA..

abound with information, or anything specially calling attention to
the classes of cases under consideration.

The first case was delivered in a perfectly natural way, by nat-
ural forces ; the two subsequent ones were made instrumental
deliveries advisedly, simply for the reason that I felt the possi-
bility of a repetition of the first. In all of them I am certain and
positive that I heard the fetal heart not longer than one-half hour
before delivery was accomplished ; heard it distinctly but some-
what weakened in its force. At the time of delivery, in all, the
appearance presented by the children as they came through the
vulva was one of extreme pallor, with slight, if any, evidence of
cyanosis, save a deepened tinge of the lips, with absolute muscular
relaxation ; there being apparently no response on the part of the



Online LibraryJ. A. (Joel Asaph) AllenBuffalo medical journal → online text (page 7 of 78)