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pages. They are practical and popular in style, and having been written by such well known sanitarians as Dr. Victor C. Vaughan, of the Michigan State Board of Health, Dr. George M. Sternberg, of the United States Army, and others, they can be relied upon as containing the lastest conclusions of science upon their respective subjects. The prices of these essays are as follows: Number one, 10 cents; numbers two, three, and four, 5 cents each. In book form, well bound in cloth, 50 cents. To be had at the book-stores, or by writing to Dr. Irving A. Watson, Secretary of the American Public Health Association, Concord, New Hampshire."

Dr. Sternberg's essay has been published in German, French, and Flemish, and Dr. Vaughan's in German.

EDITORIAL BRIEFS.

Of the total number of recorded births in Paris during 1887, twenty-six per cent. were illegitimate.

Mr. Henry Bergh, Jr., a nephew of the late Henry Bergh, has been elected President of the Society for the Prevention of Cruelty to Animals.

The Michigan College of Medicine and Surgery is the name of a new medical school lately organized in Detroit. Recitation and clinical session began March 22. Regular session begins September 17.

PROTRACTED GESTATION.—Dr. Fitzgerald reports, in the Saint Louis Courier of Medicine, a case of pregnancy in which the gestation was protracted to four hundred and nine days. The patient was a married woman, thirty-eight years of age, and the child was her eighth.

ERGOT MILL.–Dr. Paget does not depend on the tincture or other liquid preparations of ergot, and claims that only the freshly pulverized ergot is reliable. In his practice he secures this by carrying in his obstetric bag an ergot mill, resembling a small coffee mill, designed to grind up ergot freshly for use.

THE REIMPLANTATION OF A TREPHINE BUTTON OF BONE.In a paper read before the Surgical Section of the Suffolk District Medical Society, Dr. Bunell advocates replacing a

trephine button of bone as introduced by Dr. MacEwar, who reported in 1885 that he had reimplanted the fragments of divided trephine buttons in eleven cases. Only twice did the replacement fail, and in these two cases the majority of the fragments lived.

UNFORTUNATE “BRITANNIA.” — The steamship Britannia, running to ports on the Mediterranean, which brought cholera into New York harbor last summer, recently arrived with smallpox on board. It has been prevented from coming up to the city until the effects of vaccination could be observed on the passengers.

UMBILICAL GANGRENE.- This is the result of an inflammatory process in a prematurely born baby, or one that fell sick with diarrhoea. It may extend inwards to the intestine and terminate in perforation. The prognosis is very bad except in the few cases in which there is a well-marked line of demarcation. The treatment consists in antisepsis and stimulation.

EXCISION AND SCRAPING CARBUNCLE.—There are few procedures, says Dr. Parker in an article, British Medical Journal, in practical surgery that better deserve recommendation than the local extirpation of carbuncle, of which the pain and tenderness are thereby ended, and the state of gangrene, always virulent and sometimes inveterately spreading, replaced by simple inflammation in a healing sore.

We take pleasure in calling the attention of our readers to the advertisement of Messrs. John Wyeth & Brother, on second page of cover. The new remedies they bring forward in the form of their compressed tablets will be of interest to every physician. The circular matter they offer to supply is very concise and collated with much acumen, and shows an evident thorough knowledge of the therapeutic value of these recent valuable antipyretics and antiseptics.

MECHANICAL CURE FOR HICCOUGH.-In the annual meeting of the Chemical Society, of London, Mr. Strothers gave the following method for the immediate relief of hiccough: Procure a glass of water and pour a little of it down the patient's throat. While he is drinking the water he should press a finger on the orifice of each ear. By this method you open the

glottis and in five seconds the thing is done. “Should you, by any chance, meet with an obstinate case, you may rest assured,” says Mr. Strothers, “that the throat and ears were not closed at one and the same time; either the water was swallowed before the ears were thoroughly stopped, or the water was not sufficient to fill the throat.” Another precaution is to keep the chin well up.

ATLAS OF VENEREAL AND SKIN DISEASES.- We acknowledge the pleasure of receiving specimen plates of Professor Robert W. Taylor's “Clinical Atlas of Venereal and Skin Diseases, including Diagnosis, Prognosis and Treatment.” The work will be issued in eight parts, aggregating fifty-eight chromo-lithographic plates, measuring fourteen by eighteen inches, and containing about two hundred figures, many of themi life size. The text will deal chiefly with the practical aspects of the subjects.

As an advocate of the merits of vaginal section for the removal of the uterine appendages and small ovarian tumors, Dr. Byford laments that he must contend with the most difficult of obstacles, namely, its abandonment by its originators, Drs. Thomas and Battey. Dr. Byford considers the chief reason for “their failure to develop the operation was the brilliant rise of abdominal section following the introduction of antiseptic system, dazzling and blinding their judgment and luring them into the main avenae of triumphant advance."

IMPURE ANTIPYRIN.—The great demand for antipyrin is much in excess of the supply. The pressure upon the manufacturers to increase the production of the article, has resulted in a want of care in the purification of the drug, a certain proportion of benzine having been detected in samples submitted to analysis. The British Medical Journal thinks this impurity may account for some of the toxic symptoms which have been reported, such as cutaneous eruptions, gastric troubles, and even grave cerebral symptoms, more particularly in the aged.

THURSDAY, March 24, 1888, was a cheerful occasion for many friends of the Western Pennsylvania Medical College in Pittsburgh. The Grand Opera House was crowded with those on hand to extend congratulations, and to aid in commemoration of the Second Annual Commencement. Thirty-four graduates received the degree of M. D., being an increase of exactly fifty per cent. above last year's number. After the invocation by

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Rev. Dr. Cowan the valedictory address was delivered by Professor James McCann, President of the Faculty, with an address by the First Honor man of the class, Dr. W. S. Plotner. In the evening at the Seventh Avenue Hotel, faculty, alumni and guests, to the number of one hundred and fifty, partook of some of the good things of life. The post-prandial toasts were responded to in the happiest way by Dr. Thomas McKennan, of Washington, Dr. Stewart, of Erie, Dr. Ferris, of the class of '87, Dr. Batkin, of the class of '88, by Professor Lange of the Faculty, Joseph Albree, Esquire, of Allegheny City, Rev. Dr. Cowan, and others. The reunion was thoroughly enjoyed by all, and fitly closed the second successful year of this new medical college.

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THE SPONTANEOUS ATTENUATION OF ERYSIPELAS OF THE FACE.— Attention has been called by Jaccond to a fact familiar to physicians who have had large experience with erysipelas: namely, that a first attack of facial erysipelas, provided it may have been one of considerable severity, while not conferring immunity from subsequent attacks, nevertheless attenuates the symptoms of a second attack. He considers this fact an illustration not of the "Attenuation of virus," but of that modification in the "culture soil,” which takes place as a result of a first subjection to an infectious agent, and which makes the subject, if not refactory altogether, at least exempt from the worst symptomatic effects when the morbific microbe has again invaded the organism.

We were glad to meet with the announcement that the preparation of such a work, to be issued by Messrs. Lea Brothers & Company, of Philadelphia, was in the hands of Dr. Robert W. Taylor, of New York, all of whose writings have been conspicuously marked by vividness and accuracy. We have lately had the opportunity of examining impressions of a great part of the plates and cuts to be given in Dr. Taylor's new Atlas, together with the system of its arrangement. Besides the beauty and fidelity of the illustrations, they have the great merit of portraying typical and instructive rather than startling appearances, and especially of representing not only the acme but also the various phases of the disease to which they pertain. Having those objects in view, whoever sets to work to produce an atlas of cutaneous and venereal diseases finds his greatest difficulty to lie in the work of selection, and the greater are his attainments as a clinician the more readily will he surmount it. Dr. Taylor's well-known excellence in this respect might well have been taken as a sufficient guarantee of the quality of his new work, and our inspection of the plates and letter-press has been only confirmatory. The work will be a most valuable guide in diagnosis and treatment, and we have no doubt it will shed new lustre on American medicine.” The Clinical Atlas will be published by subscription. A prospectus may now be obtained from the publishers.

MEDICAL PROGRESS.

THERAPEUTICS.

RECTAL FEEDING.

From a study of the subject of rectal alimentation, Dr. Weaver (Transactions of the Luzerne County Medical Society") has formulated the following conclusions:

(1) By the use of enemata life can be sustained indefinitely with little, if any, loss of weight to the body.

(2) In a large proportion of cases in which rectal aliment is used, true digestion of albuminous, saccharine, and fatty food takes place, by virtue of in haustion, or a reversal of the normal peristalsis of the alimentary tract.

(3) While this is the case, there are doubtless instances in which retrostalsis does not occur, and for that reason the food used should first be artificially digested before being injected into the rectum.

(4) While milk, eggs, and brandy are the best aliment for rectal nutrition, no one article should be used for too long a time, but frequent changes should be made, observing the greatest care to prevent irritation of the rectum, or intolerance of that organ for the nutriment required.

(5) The enemata should, if possible, be administered by the physician himself. Where difficulty in retaining the aliment is encountered, the colonic method is preferable, the food being propelled through a rectal bougie. The food should be of the temperature of the body.

(6) The rectum having once become intolerant of enemata, absolute rest must be given to that viscus for a few days, and

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