We cannot, of course, hope to have the national guard devote so much time to the preliminary instruction of the soldier. After referring in detail to the present views on inhibitory and exeitor impulses in single nerve trimks, and to Foster's experiments on direct inhibition of cardiac muscle of snail.

Such is the case in the patients who must catch a train every morning, who take a newspaper to the closet, the reading of which causes them to neglect the nervous impulses coming from the bowels, or are otherwise" too busy" to attend to such trifling events of nature as evacuation of the bowels. The constant use of bromides also leads to functional impotence, easily removed as a rule; that produced by iodine or its compounds, on the other hand, is commonly the result of atrophic changes in the testicle, and is of bad prognosis. The patient is today earning her living as a domestic and able to do a hard day's My third case was almost identical with the first two, except that in this case the patient complained of a great deal of abdominal pain and I was able to get a faint history of tuberculosis, her sister having died of pulmonary consumption a few months previously. From it we note that the board instituted eighty- two prosecutions during the year for violations of the law. Always forms part of the swelling. These are treated by anaesthesia may be controlled by the faradic pencil or brush. A diagnosis of subphrenic abscess was made, and first operation, found no pus pockets here, but dense adhesions walling otT the right flank. Durant Drake, professor of philoso takes up in turn what he considers our five national and practical manner the application of each to various contemporary problems. The excessive production of these effete matters in various local inflammations, and in the infectious fevers, is an established fact; and as regards some of the latter diseases it has been distinctly proved, not only that the kidneys (even when healthy) often fail to eliminate them in normal quantity, but that even when these organs excrete them profusely, the blood still remains overloaded with them; and further that, in such patients, when they have died with typhoid symptoms, urea in excess has been discovered symptoms which come on in its course have long been regarded as of uraemic origin.

A fever pulse is moderately rapid, and in the early stages of an attack, strong; later, soft and compressible. We now tell the mother that if the child does not vomit, and the stools are good, she should add half an ounce of milk every ten days and deduct a half ounce of diluent.

Tlie patient should therefore be kept to the house, and in one uniform temperature. During a'run,' sufficient sulphur should be added to keep about one inch molten on the bottom of the generator. The only way which we yet had to determine whether a given spot was malarial was to put people there and see if they got malaria. .Mthough inertia is attributed to various diseases of the mother. Practically the whole book is written from notes used by the writer for lecture purposes, partly founded on his experience in tropical, sub-tropical, and temperate climates and partly compiled from text-books (on Tropical Medicine, etc.) and lectures of well-known sanitarians, including Sir Ronald Ross, Professor Boyce, Colonels Firth, Aldridge, and others. On admission the patient was very delirious with a differed considerably from each other during life, but anyone studying a consecutive series of them in the same station would be led to the conclusion that they had a common climatic origin and were different types of the same disease. It is simply a symptom of some morbid condition, the nature of which it should be the function of the physician to determine; and it is as irrational to prescribe for a gleet in any hope of curing the malady which occasions it, as it is to prescribe for cough with the same end in view, without first by physical examination endeavoring to ascertain the source from which the symptom derives. I will contine myself to the relation here only of the most striking instance, one which has been furnished us in the building up of new quarters of tlie city.

The men at the head of the enterprise, the board of directors, the diliEerent committees, are guarantees that the exposition will be a great success. Thus tubercle and carcinoma, although severally disposed to involve secondarily a large number of organs, and many of them in common, present obvious peculiarities of distribution; for while both of them are specially apt to attack the lungs, brain and serous membranes, carcinoma is yet more disposed to attack the liver, which tubercle generally avoids, and tubercle has a marked affinity for the mucous membrane of the bowels and for the spleen, in both of which situations secondary cancer is certainly rare. It was, perhaps, better adapted to the form known as lupus vulgaris than to the other varieties of the affection. The four cases all recovered well without injury to the cornea. The continuous use of sodium bromide for a month or more sometimes cures the condition. You observe that it is like an ordinary sound, or nearly so; there is a little bulging at one part; now, by pressing on the end of the instrument, it separates like forceps, and if you have got a stone of small size at the other end, it may be grasped between the two blades of the instrument, and you can thus draw it out. After the patient has had one attack much can be done by prophylaxis; tin- treatment of constipation is of prime importance here.


The students were obliged to obtain practical instruction and ward work at the existing hospitals under other authorities, who looked with some jealousy and disti'ust on such of their surgeons and physicians as were attached to tlie new institution. Deglutition being somewhat slow, while the salivary secretion continues normal, the saliva not unfrequently flows from the mouth. It follows, then, that this conclusion is hasty, the more so as it idrawn from six cases only, whereas the other conclusions are the result of a a- the result of the operation, and as cures must be accepted, the question for the latter is whether we have not the common solution of post hoc ergo propter hoc.

The results to be expected from radiotherapy are:' is very excessive and time is a factor, operation is indicated.

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