When acne is a prominent feature, sulphur lotions are applicable, or hypochloride of sulphur freshly prepared (3 iii.) to the ounce of lard, with carbonate of potash (gr. v.) and a little almond oil.-J. J. Pringle.-Medical Review of Reviews.

Sig. A tablespoonful in a little water after meals.-Medi

cal Review of Reviews.

SOME POINTS.-In removing plaster from the hands after the application of plaster casts, it would be well to remember the therapeutical fact that syrup of lime is the strongest solution, and the application of a little sugar to the hands will be found to greatly assist you. The same rule applies to removal of casts In removing obstruction from hypodermic needles, fill syringe with water, screw on the needle and place in alcohol flame at point of obstruction using some pressure on piston. The steam generated will force out the obstruction. A number of useless needles will be made useful.

In removing adhesive strips which have been used as a dressing, a little ether poured on same will greatly faciliate it by dissolving the glue.

Never allow rubber plaster to come in contact with a surface uncovered by normal skin. Since it cannot be sterilized be heat, it must be considered as being dirty.

Before operating, always find out whether the patient has any malarial history. The discovery of this fact will save you many a bad scare when temperature rises suddenly after operation.— Ga. Jour. of Med. and Surg.

TREATMENT OF PAINFUL DENTITION.-I. Frequent hot irrigation of the mouth with a solution of the following:

107

Gentle friction of the gums with the following mixture:

M. Sig.

Vini opii, mij.

Tinct. benzoini, 3 iij.

External use. -Danchez.-N. Y. Polyclinic.

Motes and Items.

Dr. H. J. Thomas, of Winston, has been ordered to Tampa, with ultimate destination Santiago. At the beginning of the war he volunteered as an Acting Assistant Surgeon and was accepted.

SHOOTING ON DOCTORS.-The Spanish sharp-shooters before Santiago made special marks of the surgeons and wounded men. as they were being carried to the rear. Several wounded men were killed and Drs. Danforth and Troval were also murdered in this way. The Spaniards having seized the uniforms of American soldiers who had been killed put them on and secreted themselves in the tree tops, from which place they picked off not only the ambulance corps but wounded men.

REQUIREMENTS FOR THE DEGREE IN MEDICINE-as adopted by the American Medical Association.

At the recent meeting of the Association the following was unanimously adopted:

WHEREAS, the American Medical Association did, at Detroit in 1892, unanimously resolve to demand of all the medical colleges of the United States the adoption and observance of a standard of requirements of all candidates for the degree of doctor of medicine which should in no manner fall below the minimum standard of the Association of American Medical Colleges; and

WHEREAS, this demand was sent officially by the Permanent Secretary to the dean of every medical college in the United States and to every medical journal in the United States, now therefore the American Medical Association gives notice that hereafter no professor or other teacher in, nor any graduate of any medical college in the United States, which shall after January 1, 1899, confer the degree of doctor of medicine or receive. such degree on any conditions below the published standard of

the Association of American Medical Colleges, be allowed to register as either delegate or permanent member of this Association.

Resolved, that the Permanent Secretary shall within thirty days after this meeting send a certified copy of these resolutions to the dean of each medical college in the United States and to each medical journal in the United States.

DEATH, SMIT.-On the 28th inst., Amy Jane Mary Smit, eldest daughter of John and William Smit, aged 1 day 21⁄2 hours. The bereaved and heart-broken parents beg to tender their hearty thanks to Dr. Jones for his unremitting attention during the illness of the deceased, and for the moderate brevity of his bill. Also to Mrs. Williams for the loan of clean sheets, to Mr. Wilson for running for the doctor, and to Mr. Robinson for recommending mustard plaster."-American Druggist.

Reading Motices.

THE PROMPT SOLUTION OF TABLETS.

We are glad to know that the Antikamnia people take the precaution to state that when a prompt effect is desired the Antikamnia Tablets should be crushed. It so frequently happens that certain unfavorable influences in the stomach may prevent the prompt solution of tablets that this suggestion is well worth heeding. Antikamnia itself is tasteless, and the crushed tablet can be placed on the tongue and washed down with a swallow of water. Proprietors of other tablets would have had better success if they had given more thought to this question of prompt solubility. Antikamnia and its combination of tablet form are great favorites of ours, not because of their convenience alone, but also because of their therapeutic effects.-The Journal of Practical Medicine.

NERVOUS PROSTRATION. -My son, aged 12, had been growing nervous over the shock of his brother's death, and seemed to derive no benefit from any remedies used in his case. Had him to the sea shore, change of surroundings and everything that could be done for his benefit, he still grew thinner and worse all the time. I put him on CELERNIA, and had marked benefit before the first bottle was used, and he has almost entirely gotten over it with the help of another bottle I got for him. I consider it a very nice and efficient nervine, just the thing for the children and nervous and delicate persons, where there is great prostration. I shall use it freely.-N. P. FRASSONI, M. D., Moosic, Pa.

MEDICAL JOURNAL.

A SEMI-MONTHLY JOURNAL OF MEDICINE AND

BY AUGUST SCHACHNER, M. D., Demonstrator of Anatomy in the Louisville Medical College; Visiting Surgeon of the Louisville City Hospital, Etc., Louisville, Ky.

I

HAVE a tumor that I removed from a woman fifty years

of age; she had been married twice, and had I think four children. In addition to this tumor she had an inguinal hernia on the left side. The tumor had been developing for a number years, just how long she was unable to say. It reached almost to the umbilicus. By a vaginal examination I could feel a mass about the size of a man's fist, smooth and round with a constricting band, which made it appear very much as though it might be an inverted uterus, or a submucous fibroid that had grown out through the cervix. Very careful search was made for the cervix through a speculum, but we were unable to locate any cervix, nor anything except this round, hard mass that presented. The tumor was immovable, and diagnosis was made of fibroid of the uterus, possibly one that had grown within the uterus and forced itself partly out through the cervix.

We opened the abdomen and the mass which I show you was presented in the incision; it looked like an ordinary uterine fibroid, apparently sessile. We tried to get it out of the pelvis, but it was only partly gotten out after a great deal of pulling

with forceps and working with the hands of assistants. After getting the tumor out we noticed up in front was the uterus, apparently somewhat atrophied, with the normal ovaries and tubes upon each side. Even after the tumor was partly out of the abdomen, we were very uncertain is to its exact nature; the tumor being quite large and the pelvis small, the entire pelvis was filled. I decided to throw a rubber ligature around the growth, which was done and I cut the tumor away. In dissecting deeper around the tumor, I encountered what appeared to be a cavity behind the growth. I inserted my finger down into the cavity and could sweep it around the mass, but even then I was somewhat in doubt as to where the tumor originated and the exact relation of the parts. I concluded it was best to cut the entire growth away, and after getting it up out of the cavity and finding what seemed to be its capsule, I saw with what I had to deal: I saw that it was a sub-peritoneal fibroid that had grown from behind the uterus into the vagina, lifting up the uterus in front, lifting up Douglas' cul de sac so that it made the fundus of the vagina very small. It stretched the vagina upward. First I cleansed the abdominal cavity thoroughly, sewed the peritoneum over to its lowest point, then stitched the lower end of Douglas' pouch up until I had entirely closed the peritonial cavity, which, of course, left an open vagina below and a large raw surface. The vagina had been thoroughly cleansed, including douching with peroxide of hydrogen and irrigation with bichloride of mercury beforehand, still I did not care to trust the large raw surface, the vagina being so long, so I sewed it over, then united it up to the abdominal wound, adjusting a hysterectomy pin to hold the sac in such manner that the pin could be withdrawn at any time I thought advisable. All the raw surface above the vagina and below the peritoneum was then filled in with gauze, everything was closed and the patient put to bed.

In the operation I dissected so near the bladder that I was fearful that perhaps I had injured the ureters, but before the end of twenty-four hours I was satisfied everything was right, when she began passing the amount of urine that it is customary for these patients to void in making a perfect recovery. There is now nothing more than a slight sinus left and the patient is sitting up.