puncture should receive a light antiseptic dressing. In the five cases reported, permanent improvement is not noted in a single instance. In some the circumference of the head markedly diminished at first, and the general symptoms became much more favorable. The improvement, however, was temporary. In no instance was puncture followed by local or general bad result. Bouchut adopted a somewhat similar treatment in cases of chronic hydrocephalus, but made his puncture by means of a capillary trocar introduced into the nostril at, the side of the septum parallel to the line of the nose, and plunged through the cribriform plate of the ethmoid bone, being at the same time slightly inclined outward. By this means he removed in one case ten ounces of fluid. This child died. The same operation was repeated in another case, but without result.-Therapeutic Gazette. A CONTRIBUTION TO THE PATHO- RETINA AND OPTIC NERVE IN ITS MEMBRANES. Falser states (Deutsch. Med. Zeit.) that in the laboratory of Prof. Iwanski, he has examined the retina and optic nerve in purulent basilar meningitis, 7 cases; tuberculous meningitis, 4 cases; chronic meningitis, 12 cases; hemorrhage of the brain, 7 cases; and arteriosclerosis of the brain, 9 cases, and has determined the following facts, viz.: 1. All diseases of the brain and of its membranes in consequence of injuries inflicted upon them, induce pathological changes in the retina and optic nerve. 2. Acute inflammation of the meninges occasions cedema of the papilla and disturbances which are intimately associated with the chief causes of this latter and the retina. (Neuro-retinitis @dematosa.) 3. Chronic inflammations of the meninges produce the same condition in the retina. 4. Arterio-sclerosis of the cerebral vessels extends also to the papilla and the retina, and always induces peripheral edema in the latter. The edema is the result of chronic venous hyperæmia, which is occasioned by disturbances in the circulation of the blood. 5. When extravasation follows arterio-sclerosis, this phenomenon can usually be observed also in the vessels of the retina. 6. In consequence of the pressure, which the accumulated mass of exudation exerts upon the optic nerve entrance, choked disc (Staungspapilla) very frequently results.-Med. and Surg. Reporter, January 16, 1892. EUPHORIN IN GYNECOLOGICAL PRACTICE. L. M. Bossi (Rif. Med., December 15, 1891) reports the results of some clinical experiments with euphorin made by him in obstetric and gynecological cases. He employed it in powder in twenty cases of ruptured perineum, and found that it promoted rapid healing both in slight cases and in more severe lacerations where sutures had been required. He also used it as a dressing to the stump of the umbilical cord in twenty-one newborn babes. In no case did suppuration take place, nor was there any sign of the drug having been absorbed. In none of the cases was there any appearance of icterus neonatorum. In twenty-nine gynecological cases euphorin was employed as a fine powder, applied by means of a special atomizer (vaginitis, ulcerations of the os, cervicitis with abrasions of the portio vaginalis and parenchymatous cervico-metritis) or small pessaries about four centimetres in length and containing 40 to 50 per cent. of euphorin, which were introduced every two or three days into the uterine cavity (in cases of acute and chronic endometritis). In both these classes of cases the results of the treatment were satisfactory, and Bossi concludes by saying that his experlence leads him to think. that euphorin acts both more effi NON-CONTAGIOUSNESS OF Dr. L. Duncan Bulkley in a study of this disease, basing it on his own observations and those of others, arrives at the following conclusions: 1. Leprosy is not in any proper sense of the word a contagious disease. 2. There is not the slightest warrant for public alarm concerning cases of leprosy. 3. It is not due to climatic or race conditions. 4. It originates from a bacillus. 5. There is reason to believe that under certain conditions it can be inoculated. 6. There is considerable ground for the opinion that it is frequently caused by food and especially fish. 7. Heredity is a possible factor in its causation. 9. 10. II. 12. 13. WARD. Cases. Deaths. Measles. 3 8. There is far greater warrant for the seclusion and regulation of syphilis and tuberculosis than of leprosy. 18. Weekly Med. Review. FAILURE OF THE PASTEUR 19. 20. 21. 22. 23. 24. 26. 27. 28.. 29. 30. A man died on New-Year's Day in 25. Newburg from hydrophobia. He was bitten in thirteen places by a mad dog on September 19. He placed himself under the Pasteur treatment, and at the end of a month was pronounced out of danger. A few days before his death, however, one of his arms, which had been bitten, became painful, and death from hydrophobia followed speedily.N. Y. Med. Record. LINIMENT. Public Institu tions. ...... Totals 23 3 Deaths. | Deaths. Typhoid Mortality Report for the week end ing January 29, 1892: Croup.... The following is praised (The Pre- Diphtheria scription, No. 1, 1892): B Chloroform, Lin. saponis, For external use. Influenza I 9 II Scarlet Fever I Report of a Case of Spina Bifida, with Partial Motor and Sensory Paralysis of both Extremities, Complete Paralysis of the Sphincters of the Bladder and Rectum, Double EquinoVarus, and Purulent Bursitis. By H. Augustus Wilson, M.D., Philadelphia, Pa. Reprint from Transactions of the American Orthopedic Association. The Aseptic Closure of Long-Standing Sinuses having their Origin in Tubercular Joints. By H. Augustus Wilson, M.D., Philadelphia, Pa. Read before the Philadelphia Academy of Surgery. The Surgical Treatment of Pyloric Stenosis, with a Report of Fifteen. Operations for this Condition. By N. Senn, M.D., Ph.D., Chicago, Ill. Reprint from the Medical Record. Practical Surgery. By William J. Walsham, F.R.C.S. Third edition. P. Blakiston, Son & Co., Philadelphia, 1891. Massage and the Original Swedish Movements: Their Application to Various Diseases of the Body. By Kurre W. Ostrum, Philadelphia. Second edition, enlarged, with eighty-seven illustrations. Published by P. Blakiston, Son & Co., 1891. Price in cloth, $1.00. Microscopical Diagnosis of Tuberculosis. By Paul Paquin, M.D. Published by the Little Blue Book Co., Battle Creek, Mich. A Plea for the Extra-Peritoneal Treatment of the Stump in Abdominal Hysterectomy for Fibroids. Reprint from the Canada Lancet. West Virginia Resolutions. By Webb J. Kelley, M.D., Galion, O. Reprint from the Cleveland Medical Gazette. Mouth Breathing not the Cause of Contracted Jaws and High Vaults. By Eugene S. Talbot, M.D. Reprint from Dental Cosmos, November, 1891. Sa Grippe DURING LAST YEARS EPIDEMIC ANTIKAMNIA AND ITS ALLIED COMPLAINTS. FOR HISTORY LITERATURE ADDRESS. THE ANTIKAMNIA CHEMICAL CO., ST. LOUIS, MO., U. S. A. THE CINCINNATI Tancet-Clinic A Weekly Journal of Medicine and Surgery. ESSENCE OF PEPSINE ingredient of the GASTRIC JUICE, Extracted -FAIRCHILD). Directly from the Peptic Glands of the Stomach. "Its popularity is chiefly due to its irreproachable character." "Invalids are recommended to drink it." -THE TIMES, LONDON. |