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SUBJECTS FOR DISCUSSION AND FOR THE PREPA-
RATION OF MONOGRAPHS.

I. Quarantine.

together again next June, they will lay aside that | William R. Mandeville, New Orleans, La.; N. modesty so natural to men of true science, and R. Milner, New Orleans, La.; H. L. Orme, Los not only correct the present error, but, if they Angeles, Cal.; R. H. Reed, Mansfield, Ohio; meet there in the capital of the nation all the other W. L. Schenck, Osage City, Kan.; C. M. Smith, specialist organizations to form a confederated Franklin, Ohio; R. M. Swearingen, Austin, Congress, do not permit the repetition of a simi- Texas; M. K. Taylor, United States Army; G. lar mistake by calling it "The Congress of Ameri- B. Thornton, Memphis, Tenn.; William M. can Physicians and Surgeons," as has been pro- Welch, Philadelphia, Pa. posed, and which would suggest to all the outside world only a gathering of ordinary members of the profession, but insist boldly on its being called honestly and plainly "The Congress of American Specialists." For it would be a sad reflection if, after assembling annually on the banks of the Potomac and enduring a June sweat for a decade, they found themselves well-nigh forgotten, and all for the want of a title sufficiently distinctive to secure the attention of the learned in all parts of the world. Let no one suppose that the foregoing comments are prompted by any feeling of opposition to the new association. We are perfectly willing that both specialism and exclusiveism shall have fair play in an open field, but it is no more than right to claim that every ship should sail under its own flag.- Journal of Amer. Med. Association.

a. History of quarantine.
b. Conduct of quarantine stations.
c. Sanitation of ships.

d. Sanitation of maritime ports.

e. Regulation and control by sea and land of such diseases as yellow fever, Asiatic cholera, Oriental plague, Oriental leprosy, typhus, and typhoid fevers, smallpox, scarlatina, and measles. f. The relations of the duration of quarantine as determined by the natural history of various diseases, and more especially by the period of incubation of their specific poisons.

g. Value of heat (dry heat and heated steam) and steam in the disinfection and cleansing of infected vessels.

NINTH INTERNATIONAL MEDICAL CONGRESS. h. Relative value of sulphuric acid and other -The Ninth International Medical Congress, to agents, as carbolic acid, sulphate of iron, and bibe held in Washington, D. C., commencing Sep-chloride of mercury in disinfection. tember 5, 1887:

PRELIMINARY ORGANIZATION.

SECTION XIV. PUBLIC AND INTERNATIONAL

HYGIENE.

i. Describe the apparatus for the application of disinfectants.

7. Land quarantine, its value and mode of conduction.

m. The proper structure, ventilation, and conduct of railroads so as to prevent the dissemina

n. Shall the General Governments of the civilized world assume control of all the quarantine systems, and by mutual consent reduce the entire subject of quarantine to order and apply the most improved methods of sanitation and disinfection?

j. Quarantine should embrace not merely de-. tention, but also thorough cleansing and disinfecPresident, Joseph Jones, M.D., of New Or- tion. Whenever necessary, the cargo should he leans, La. Vice-Presidents, John Simon, 40 Ken-discharged and thoroughly aired and fumigated. sington Square, W. London; B. W. Richardson, k. Structure and conduct of quarantine hospi25 Manchester Square, W. London; J. W. tals. Thudicum, 11 Pembroke Garden, W. London; A. N. Bell, Brooklyn, N. Y.; J. N. McCormick, Bowling Green, Ky.; J. Berrien Lindsey, Nashville, Tenn.; J. F. Y. Paine, Galveston, Texas. Secretaries, George H. Rohé, Baltimore, Md.;tion of contagious and infectious diseases. Walter Wyman, United States Marine Hospital Service. Council, Thomas Antisell, Washington, D. C.; Le Baron Bottsford, St. Johns, New Brunswick; Henry Carpenter, Lancaster, Pa.; Richard H. Day, Baton Rouge, La.; J. W. Dupui, Baton Rouge, La.; Oscar DeWolf, Chicago, Illinois; Landon B. Edwards, Richmond, Va.; James Finney, New Orleans, La.; Wiley K. Foot, New Orleans, La.; Albert L. Gihon, Washington, D. C.; E. L. B. Godfrey, Camden, N. J.; D. W. Hand, St. Paul, Minn.; Thomas Hebert, New Iberia, La.; Charles H. Hewitt, Red Wing, Minn.; Joseph Holt, New Orleans, La.; Stanhope Jones, New Orleans, La.; Benjamin Lee, Philadelphia, Pa.; Henry Leffman, Philadelphia, Pa.; J. R. Le Monnier, New Orleans, La.; Henry F. Lyster, Detroit, Mich.; A. W. Leighton, New Haven, Conn.;

o. Shall the government of the United States assume charge of the entire subject of quarantine and relieve the individual States of the Union of all further responsibility of regulating quarantine either with foreign countries or with each other?

II. Military Hygiene.

a. Food of the soldier.
b. Clothing of the soldier.

c. Exercise of rest; effects of infantry, cavalry,
artillery, and bicycle exercise upon the soldier.
d. Shelter. Structure of tents.

e. Water supply of armies; method of testing | IX. Influence of Alcohol upon the Public Health. and improving.

f. Military prisoners and military prisons.

g. The establishment of uniform rules to be recognized by all civilized nations for the treatment, food, and clothing of military prisoners, and for the regular and continuous exchange of all military prisoners.

h. Hygienic arrangements of field and general hospitals.

III. Naval Hygiene.

IV. Structure and Arrangement of Prisons and
Treatment of Prisoners.

a. Treatment of prisoners: food, clothing, and occupation.

a. Wine.

b. Malt liquors.

c. Distilled liquors.

X. Influence of Narcotics upon the Public
Health.

a. Tobacco.

b. Cannabis indicus.

c. Opium and its preparations.

d. Chloral hydrate, chloroform, and ether. XI. Influence of the Electric Light upon the Public Health.

XII. Influence of the Modern Modes of Travel upon Public Health.

a. Effects of railroad travel in inducing paralysis.

b. Has the State the right to work prisoners in swamps and marshes, and cause the destruction b. Hygienic structure and conduct of railroad of human life by the neglect of all the laws of hy-trains so as to avoid the introduction and dissemigiene? nation of infectious and contagious diseases. c. Structure and arrangement of sailing and steamships.

c. Are not deaths occasioned amongst prisoners by cruelty, overwork, scant clothing, poor food, directly chargeable against the officials composing the government, whether acting in behalf of a city, county, state, or government? V. Structure, Hygienic Arrangements, and Ventilation of Buildings.

d. Hygienic regulations of officers, crews, and passengers.

XIII. Relations of Filth to Public Health. a. Relative merits of the various plans of sewerage and of the disposal of garbage and

a. Proper condition of the soil for the location fecal matter. of buildings.

b. Relations of building material to moisture and to fire.

b. Organization of the scavenger force.

c. Best method of disposing of the dead.

d. Effects of putrefaction in the dissemination

c. Public buildings: legislative halls, depots, of the disease germs of contagious and infectious churches, etc.

d. School-houses and colleges.

e. Factories.

f. Dwellings.

VI. Influence of Agriculture on Public Health. a. Influence of overflows on the public health. b. Importance of drainage; clearage of swamps, marshes, and land generally.

c. Influence of the cultivation of rice on the public health.

diseases, such as cholera, yellow fever, smallpox, measles, scarlet fever, etc.

e. Cremation.

XIV. Relations of Disease Germs to the Origin and Spread of Contagious and Infectious Diseases, and to Endemic and Epidemic Diseases.

a. Relations of malaria to the public health. b. Nature of the malarial poison.

c. Physical, chemical, and microscopical char

d. Influence of cotton, tobacco, sugar, and in-acters of the poison or cause of the following disdigo culture on the public health.

VII. Food and its Adulterations.

a. Influence of different methods of preserving

food on the public health.

b. Influence of canned food upon the public health.

c. The injurious effects of lead, copper, tin, zinc, antimony, etc., upon food; said metals being used for culinary vessels, dishes, and receptacles.

VIII. Relations of Water to the Public Health.
a. Properties of wholesome potable water.
b. Water supplies of cities.

c. Proper supply to each inhabitant, etc. Transmission of disease germs through the medium of

water.

eases: Yellow fever, typhoid fever, typhus fever, relapsing fever, measles, scarlatina, syphilis, phthisis, Oriental leprosy, elephantiasis, small

pox.

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40 KENSINGTON SQUARE, W. LONDON,

June 8, 1886. My Dear Sir:-I feel myself highly flattered by the invitation with which you honor me, that

I should be one of the Vice-Presidents of Section XIV. of the International Medical Congress about to be held in Washington.

To my very great regret, I have no hope that it will be in my power to attend the Congress; and I feel doubtful whether, in that state of the case, you will still think me qualified for the honor you so kindly propose. This I can only leave to your judgment; subject to which, my answer to your very flattering invitation would, of course, be, that I should be proud to hold under your presidency, any honoring post for which you may deem me fit.

Meanwhile, and at any rate, permit me to offer you, from this side of the Atlantic, my heartiest good wishes for the success of the Congress in general, and of Section XIV. in particular; and believe me, dear sir, with much respect,

Your obliged, faithful servant,

JOHN SIMON. Professor Joseph Jones, M.D., 156 Washington Avenue, New Orleans, La.

II PEMBROKE GARDEN, W. LONDON,
June 9, 1886.

JOSEPH JONES, M.D., NEW ORLEANS.
My Dear Sir:-I have the honor to acknowl-
edge the receipt of your letter of May 17th ultimo,
in which you express to me your wish that I
should be appointed a Vice-President of the
Fourteenth Section of the Ninth International
Medical Congress, to be held at Washington, in
1887.

In reply, I have pleasure in informing you that I shall consider it a great honor to fill this office, which will be so worthily presided over by your self. I sincerely hope that circumstances will permit me to visit America, and to make your personal acquaintance. Yours most faithfully, J. W. THUDICUM, M.D.

25 MANCHESTER Square, W. LONDON, June 7, 1886. My Dear Sir:-It will give me the greatest pleasure to accept the office of a Vice-Presidency of the Section on Public and International Hygiene of the International Medical Congress, to be held at Washington in September, 1887.

I do not know whether this intimation should be sent to you direct or to some other officer. I therefore send it to you direct, with the request that you will send it to the right quarter. Yours always, truly,

B. W. RICHARDSON. Professor Joseph Jones, M.D., Post Office Box 1500, New Orleans, U. S. A.

- Journal of Amer. Med. Association.

BOOK REVIEWS.

Diseases of the Digestive Organs in Infancy and Childhood. By LOUIS STARR, M.D. P. Blakiston, Son & Co., 1012 Walnut Street, Philadelphia, 1886.

This is a new book, by an author well-known as The general arrangement of the work is worthy a teacher in the department of children's diseases. of commendation; and the workmanship-printing, binding, etc.-excellent. The author, we are gratified to see, lays great stress on the matter of general management of the little sufferer. In fact, the concluding part of the book is devoted to that important subject. Feeding enters into his therapeutics as preeminently the remedy. Were it not that the doctor has handled dietetics so ably, we would be inclined to consider a book of the size of the one under consideration as too large for the subject. Not that the subject is not one of vast importance, but because brevity is a great virtue in medical literature. The introductory chapter is devoted to the very important subject of the investigation of disease in children.

The

Part second begins with a consideration of diseases of the mouth and throat. Catarrhal, and other forms of stomatitis, find their place in this portion of the book. Dentition and its difficulties are next encountered. Simple pharyngitis, superficial catarrh of the tonsils, follicular tonsillitis, suppurative tonsillitis, retro-pharyngeal abscess, are all taken up in their turn. author then passes on to the affections of the stomach and intestines. These occupy the second chapter of this part. Gastritis comes in The section on mufor its share of space. cous disease is illustrated by a plate illustrative of the appearance of a glazed tongue and a wormIntestinal catarrh is duly coneaten tongue. sidered; and entero-colitis, cholera infantum dysentery, tubercular ulceration of the intestine, colic, and constipation are fully dwelt upon. Simple atrophy, or marasmus, is ably handled. In speaking of the vitally important subject of feeding that class of infants properly, the author states that for a number of years he has made it a rule to ask for the bottle of every hand-fed infant presented for treatment. In this connection he takes opportunity to strongly condemn that complicated contrivance, popular of late, consisting of an arrangement of glass and rubber-tubing of small calibre in place of a plain gum tip. He believes, and we think with reason, that the tubing can never be kept clean. Besides, the child, left to itself, is apt to continue suction long after the bottle is exhausted, thus swallowing a quantity of air. Typhlitis and perityphlitis are next considered, followed by intussusception and intestinal worms. The last-named section is

that the book is complete and, at the same time, handy for reference, thoroughly modern in its teachings, and, with a few exceptions, safely to be confided in and followed.

illustrated by four engravings. The third chap- | the above than most writers, but we think more ter is devoted to caseous degeneration and tuber- care to this feature would add greatly to the culosis of the mesenteric glands, or tabes mesen-merit of a work. In conclusion we would add terica. The fourth chapter embraces diseases of the liver, jaundice, congestion, fatty liver, amyloid, syphilitic inflammation of the liver, and cirrhosis, are all treated of. Chapter five embraces diseases of the peritoneum. This book, we think, is a valuable one, and well worthy of a place in the library of the physician.

A Manual of Midwifery. By ALFRED LEWIS GALABIN, M.A., M.D., Obstetric Physician and Lecturer on Midwifery and the Diseases of Women, to Guy's Hospital, London. P. Blakiston, Son & Co., 1012 Walnut Street, Philadelphia, 1886.

Quiz-Compend of Pharmacy. By F. E. STEWART, M.D., Ph.G. P. Blakiston, Son & Co., 1012 Walnut Street, Philadelphia.

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This compend, the eleventh of a new series of compends for students, is based upon Professor Joseph P. Remington's Text Book of Pharmacy." It shows much care in the preparation, and, if well studied by the candidate for gradution, would certainly go far towards supplying him with a condensed, and, at the same time, extensive, review of the subject in hand.

The Principles and Practice of Surgery. By
FRANK HASTINGS HAMILTON, A.M., M.D.,
LL.D., late Professor of the Practice of Surgery,
with Operations, and of Clinical Surgery, in
Bellevue Hospital Medical College; Consult-
ing Surgeon of the Bellevue Hospital, etc., etc.
Illustrated with 472 engravings on wood.
Third edition, revised and corrected. New
York: William Wood & Co., 1886.

The first edition of this work was given to the public in 1872. The favorable reception of that and a second edition a year later, preclude the necessity of an extended notice of this, the third

edition.

The volume before us is one of the latest, if not the latest, treatise published on the subject of midwifery. It is fully up to the times. To attempt abstracting the work to any extent would be a task far exceeding the time and space allotted; so we shall be compelled merely to note a point here and there. When speaking of anæsthetics in labor, the doctor says that in the great majority of cases chloroform is the one to be chosen. "Even when it is necessary to give it to the full surgical extent, as in obstetric operations, it does not appear to involve the same increased risk, as compared with other anæsthetics, such as ether, which it does in ordinary cases." "The explanation of this is probably to be found in the physiological hypertrophy of the heart, which occurs during pregnancy, and perhaps, also, to some extent, in the high abdominal pressure due to the presence of the pregnant uterus." When discussing the subject of physometra, the author states that he has met with a case of the so-called vagitus uterinus during version, performed on account of contraction of the brim. "The child was still-born, but, on post-mortem examination, partial distension of its lungs was found, such as would generally be considered as proof of live birth. This medico-surgical operation, it is useful. legal test of live birth is, therefore, open to possible fallacy under these circumstances." The doctor, under the heading of treatment in congenital encephalocele, speaks as follows: "Forceps will generally slip off the head, and it is not usually worth while to attempt delivery by version, since the child is probably never capable of prolonged life. For the same reason there is no object in puncturing with a small trocar, in order to secure a living child, unless it should be of legal importance to secure the birth of a child, even though it lives for only a short time." We should be inclined to say that it is important to secure a living child for a short time, even if of no legal consequence, rather than kill it outright. Dr. Galabin is not, perhaps, more oblivious to moral law in his treatment of kindred subjects to

This book will continue to be a favorite one with the students who have enjoyed the privilege of listening to the lectures of its distinguished author. And to those practitioners of a conservative turn of mind, who desire a book to which they may turn and hurriedly review the surgical anatomy, and necessary steps to be taken in a

This edition of the book does not materially differ from the two former which have preceded it, except in the fact that a supplementary chapter has been added. This chapter is upon "The Art of Primary Union, or Union by Adhesion in Large Incised Wounds; With a Consideration of the Value of Antiseptics in These and Other Wounds."

In this chapter the author demolishes the specious claims of the Listerian school, and shows that the favorable results which have been obtained by the antiseptic method of treating wounds, has not been because of the exclusion of a multitude of supposititious germs, but because in the exercise of it, it was necessary to comply with conditions known and taught by surgeons more than a hundred years ago.

But let the author speak for himself. He says, | since the second edition of this work was issued, page 949: "The several conditions necessary for the union of large wounds by adhesion are not now for the first time declared. Their first enunciation was made substantially in the latter part of the last century, and were repeated often by systematic writers. They were part of my earliest lessons in surgery, and have been taught and practised by me during all my professional life up to the present time. I believe, also, that a strict compliance with these rules constitutes the only grounds for the superior success of some surgeons, as compared with the success of others, at the present day."

Again, he says, on page 955, Mr. Lister teaches "that under a most thorough system of antiseptics, primary union can be secured." "But he also teaches, incidentally, that the wound must be handled gently, all foreign substances must be removed, the blood must cease to flow, and provision must be made for drainage. In short, if you will look carefully into his teachings and practice, and the practice of his disciples you will see that they omit nothing which I have declared essential to success; and I venture to say that if they did, no amount or quality of antiseptics would secure union by adhesion. The influence of Mr. Lister, backed by his specious theories, secured a return to the old practice of the advocates of primary union in all its details, and to this it added antisepsis. But, as to his declaration that the results which he obtained were due to the destruction of certain micro-organisms constantly floating in the atmosphere, and which, being received and propagated upon the raw surfaces, prevent primary union, or which, conveyed into the system by absorption, cause septicæmia; this is only a theory, and one that is far from being universally accepted."

Again, he says, on page 957: "The various manipulations and devices for the purpose of excluding the germs above enumerated, with others not enumerated, have at one time or another been suggested by Mr. Lister or his disciples, and, in my opinion, they are all necessary if Mr. Lister's theory is correct. If it be not correct, they serve no other purpose than do the walking, talking, and gestures of the prestidigitator. They abstract the attention and conceal the adroit manipulation by which the trick is actually performed, with this difference, the prestidigitators are not deceived, but deceive their audience; while Mr. Lister and his disciples deceive both themselves and their audiences."

In some other matters Dr. Hamilton's views are too conservative. Thus, in his chapters devoted to the treatment of Gunshot, Incised, and Punctured Wounds of the Abdomen and Abdominal Viscera, notwithstanding all that has been said upon this subject by modern surgeons

we discover no change in this present edition. The author has as much reliance and faith in the vis medicatrix naturæ and in opium now as he had when he issued the first edition of his work. He evidently does not approve of laparotomy in the treatment of such wounds. For instance, he says in the chapter devoted to the treatment of gunshot wounds of the belly (page 95): “To search for a wound in the intestines for the purpose of closing its edges with sutures, as recommended by Legonest, is, in my judgment, unsound practice," also, “The very attempt to find the wound in the intestines must insure the admission of air into the cavity of the peritoneum, and the escape of fecal matter." In view of the success which has recently attended the operation of laparotomy, Dr. Hamilton's views on this subject will not be accepted by modern surgeons.

NEW PUBLICATIONS RECEIVED. The Treatment of White Swelling of the Knee, by A. B. Judson, M.D., New York. Reprint from New York Medical Journal.

Incubation of the Larynx for Diphtheritic Croup, by E. Fletcher Ingalls, A.M., M.D., Chicago, Ill. Reprint from Journal of American Medical Association.

The Importance of Early Operations in Surgical Injuries, by R. Harvey Reed, M.D., Mansfield, O. Reprint from Transactions of Ohio State Medical Society.

On the Physiological Action of Nitrous Oxide, by Dudley W. Buxton, M.D., D.S., M.R.C.P. Reprinted from Transactions of the British Odontological Society.

On the Limitation of the Contagious Stages of Syphilis, Especially in its Relations to Marriage, by F. N. Otis, M.D. Reprint from Journal of Cutaneous and Venereal Diseases. Official Report of the Memorial Meeting of the New York County Medical Association in Honor of the Late Austin Flint, M.D., LL.D., held at the Carnegie Laboratory, Bellevue Hospital Medical College, New York, April 19, 1886. Reprint from Gaillard's Medical Journal.

Rational Medicine and Some of its Problems. The Valedictory Address Delivered at the Fifth Annual Commencement of the Medico-Chirurgical College, of Philadelphia, in Association Hall, April 3, 1886, by Frank Woodbury, M.D., Professor of Materia Medica and Therapeutics and of Clinical Medicine. Published by the Alumni Association of the Medico-Chirurgical College, Philadelphia.

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