D., Scurvy, remarks on, as observed in Surgery, a system of, by Prof. J. M. Chelius, bib. noice of, 595 Sugar, detection of, in the expecto- 624 ration of patients affected with 243 betic patient, 251 699 78 Sulphuric ether, Ellsworth on the 351, 410, 439, 551 Sulphuric ether, inhalation of, 290 331 394 49 | Sulphate of quinia, note on the ex- 78 hibition of, by Dr. Donovan, 583 254 Sulphate of quinine in aneurism of 258 614 517 Swift on wounds from fire arms, without ball, 147 Swist, Dr., note from, 220 52 | Sydenham Society's works--the S., edited with an introduction and notes, by G. Gulliver, F. R. S., bib. noiice of, 149 455 Sydenham Society's works on the 205 &c., by Dr. F. Le Gros Clark, M. D., bib. notice of, 315 458 265 from the Latin, with a life of the 701 460 67 Synovial cavities, on the origin of 633 solid bodies in, by Dr. Bidder, 583 710 marks on, by A. J. Wedderburn, medicines ordinarily employed in, 578 129 Syphilis, preservative against, 635 successfully treated by opium, by Temperature of Kenhawa salt wells, 624 619 Tetanus, on the nature of, caused by gastrotomy for the relief of, 25+ Theatrical performances at the New 679 376 Thom on the effects of large doses 635 of the sulphate of quinine, 217 caused by, Prof. Herman on, 580 bicarbonate of ammonia, by the lungs, 392 737 | Thyroid gland, a case of enlarge- 414 in the United States, bib. notice of, 26 | Tobacco, acids contained in, 394 385 cians of Philadelphia, bib, notice of, 35 Small pox, Serres on, Transylvania university, 231, Uterus, retroversion of, &c., 65 198 274 and prolapsus of the vagina, 200 ether in a case of, by Dr. Brough- and parturition during the exist- 312 498 709 Bennett, M. D., bib. notice of, 101 Vaccination, influence of, in dimin- 266 ishing the mortality from small 637 142 39 665 Vade Mecum, the medical students, antrum maxillare, with removal Vagina, complete closure of the, 69 79 ously cured, reported by A. B. the unimpregnated uterus, and 200 434 434 of face to sacrum, 14 666 vailed in Geneva, New York, in on the co-existence of, with re- 370 eruptive fevers, by J. F. Marson, 617 Variations in the quantity of fatty 712 Velpeau's new elements of operative 285 231 272 died by caustic, by E. W. Harris, M. D., 621 Vertebræ, tubercular tumour of the, 213 opening into the @sophagiis, 643 sis, and some remarks on their 08 character, &c., bib. notice of, Vinegar, Dr. David's case of poison- 694 ing by, 213 notice of, 20 Von Behr's handbuch of human ana- 34 647 Warren, Prof., resignation of, 293 functions of the, by M. Negrier, 201 Water vs. hydropathy, or an essay 585 13 on water, and its true relations to Wilson, Dr. E., on diseases of the 674 409 Womb, organic diseases of, and its 494 541 the principles and practice of States of America, bib. notice of, 603 599 Wood's quarterly retrospect of Ame- 206 rican and foreign practical medi- 603 147 ment of abortion and sterility, bib. gie und therapie, bib. notice of, 602 753 205 554, 680 tions by E. J. Lewis, M. D., bib. 50 105 THE MEDICAL EXAMINER AND RECORD OF MEDICAL SCIENCE. NEW SERIES.-No. XXV.- JANUARY, 1847. ORIGINAL COMMUNICATIONS. Remarks on the Urinometer. By W. S. W. RUSCHENBERGER, M. D., U. S. N. New York, December 5th, 1846. MY DEAR SIR,-Those members of the profession who may be engaged in investigating the changes induced in the constitution of urine by disease, may be led into error by using a gravi. meter or urinometer, manufactured in Philadelphia, and known as Prout's, for ascertaining the specific gravity of the fluid. The instrument to which I allude consists of a copper ball, surmounted by a graduated stem of box-wood, balanced below by a brass wire and pea. The point at which the stem floats in distilled water is marked at zero, and the point at which it stands in a saturated solution of common salt, forms the opposite extremity of the scale, the interval being divided into sixty degrees. If placed gently in a fluid under examination it will stand, say for illustration at 30°, but immerse the instrumeut entirely, so as to completely wet the stem, it will rise and fall, and become quiescent at 20°. I have repeated the experiment very frequently with the same result, in the same fluid, after wiping the stem dry, and in different fluids. I have also compared the specific gravity of fluids ascertained by this gravimeter, with the specific gravity of the same fuids ascertained by an accurately made specific gravity bottle, and found the result different in every instance, and without any corresponding ratio of difference. 2 VOL. X. Supposing it possible that the error might be confined to the particular instrument in my possession, I submitted it to the manufacturer for adjustment, and took the opportunity to compare it with four other instruments then on sale in his shop. We found that no two of the five instruments corresponded in their respective indications of specific gravity; and further, that every instrument varied from 6 to 10 degrees in its indication of specific gravity, according as it was gently permitted to subside into the fluid, or entirely immersed so as to wet the whole stem or scale. The price of the instrument with the case is seven dollars; its value for practical purposes is not a cent. The indications by it are too uncertain and too irregular to be even proximative to accuracy. This instrument was exbibited at the fair of the Franklin Institute in 1845, but whether it received approval or not I do not remember. The objections to it might possibly be removed, if, instead of box-wood, metal were used for the gratuated scale or stem of the instrument. The hydrometers of Beaumé and Gay Lussac are almost equally fallacious. After very numerous experiments the corclusion arrived at is, that the only true way of arriving at the specific gravity of urine or other fluid, is by means of the thousand-grain bottle and counterpoise. If you consider the above information of any interest, it may be worth a place in the Medical Examiner.” Very respectfully, W. S. W. RUSCHENBERGER. Professon R. M. Huston, Philadelphia. 66 Three cases of presentation of the Face to the Sacrum, successfully treated without turning By T. VAN VALZAH, M.D., of Mifflinburg, Pennsylvania. Mrs. Shively, on the 12th day of February, 1823, sent for me in great haste, on account of a very profuse hemorrhage. When I entered the room, I found her lying on her back near the bedside. With as little delay as possible I made an examination, and found the face low in the hollow of the sacrum. Under these unfavourable circumstances, according to the directions of Dr. Dewees, I determined on turning and delivering by the feet. So without changing her position, I directed an assistant to support her left knee, and supporting the right one myself, I introduced my right hand into the vagina, and placing two fingers on each side of the nose, having the forehead in the hol |