of Examination of Medical Science, whose certificates shall be the only authority to practice in those Ststes.

A bill to this effect will be referred to the societies in each State.

Dr. Keller offered the following resolution:

Resolved, That in the near future, if not now, cremation will become a sanitary need in the cities.

This matter was referred to a special committee, to report at the next meeting.

Dr. J. A. White, of Virginia, Chairman of the Section on Ophthalmology, Otology and Laryngology, delivered an important and valuable treatise on this special department of medicine, in which he congratulated the profession on the introduction of cocaine as an anæsthetic.

Dr. J. H. Pope, of Texas, Chairman of the Section of the Diseases of Children, stated that he would not attempt to read. his paper, but as there was much to engage the attention of the Association during its closing hours, he would simply give an outline of the address.

By vote the entire paper of Dr. Pope was referred to the Appropriate Committee for publication.

Resolved, That a new section of medicine entitled "Medicai Jurisprudence" be established by the Association. Lies over.

Dr. Toner, Chairman of the Committee on Necrology, reported that since the establishment of the Journal all the deaths had been duly reported in its pages, and that hence he had no necrological information to communicate.

The secretaries of each section were requested to present their minutes of proceedings to Dr. N. S. Davis, editor of the Journal. Dr. Morris H. Henry, of New York, was appointed as a delegate to the British Medical Association.

Ex-President Toner and ex-President Richardson, were appointed a committee to conduct the President-elect, Dr. William Brodie, of Michigan, to the chair, who, now amid rounds of applause, was introduced to the Association. He said that he would not at this time make an extended address, but thanked the Association for the compliment paid him by his election.

Dr. Campbell retired with grace and dignity from his arduous duty as president.

Dr. Davis made the closing remarks, in which he paid a high compliment to the citizens of New Orleans for their reception and entertainment of the members of the American Medical Society. He then moved that this body do now adjourn, which was unanimously consented to.

The usual vote of thanks were adopted in which this noted body of accomplished gentlemen expressed most ardently their appreciation of the courteous attentions paid them by the citizens of New Orleans, specially mentioning Mrs. Dr. T. G. Richardson, Mrs. Cartright Eustis, the Jockey Club, the numerous hosts who had so kindly and elegantly entertained them, also the adminis trators of Tulane University for the use of their several buildings for holding their sessions, and to the press for their reports.

A number of delegates, unable to repress their feelings of gratitude for the cordial greeting and handsome manner in which they had been entertained during their stay in this city, made short but earnest speeches in praise of the citizens of New Orleans.

LEVIS'S METALLIC SPLINTS FOR FRACTURE OF LOWER END OF THE RADIUS.-This Splint is made in two sizes-adults' and children's, by Mr. J. Ellwood Lee, of Conshohocken, Penn. Price, $1.00 for each piece.

The following is from an article by Dr. R. J. Levis:

"The correct nature and mechanism of the ordinary form of fracture of the lower end of the radius is now, after much controversy, generally admitted and properly comprehended. With this proper understanding the indications of treatment become rational and decisive.

In the usual and very characteristic fracture of the carpal end of the radius the primary line of the fracture is, with little tendency to deviation, transverse in direction. Associated lines of fracture are generally those of com inution of lower fragment, and are caused by the upper fragment being driven vertically into

it and splitting it, usually in directions towards its articular surface.

The displacement of the lower fragment is towards the dorsal aspect of the forearm, and its articular surface is inclined in the same direction, abnormally presenting backwards and upwards.

The mechanism of the fracture is its production by falls upon the palm of the hand, which, with the carpus, undergoes extreme extension, and the fracture is caused by an act of leverage or transverse strain. This direction of force has also been called cross

breaking strain.

In this fracture, actual displacement of the lower fragment may not exist at all, or it may be to the extent of complete separation from contact of the broken surfaces, varying with the amount of force applied and with the retaining influence of the surrounding dense structures.

The first essential of the treatment of fracture of the lower end of the radius is the complete reduction of the displacement. The action of replacement must be directed to the lower fragment itself. The reduction of the fracture can usually be thoroughly effected, under anæsthesia, by strong extension applied to the hand, associated with forced flexion of the wrist, and with pressure applied directly on the dorsal surface of the lower fragment. Unless vertical splitting or comminution of the lower fragments exists, the maintaining of partial flexion of the wrist, with pressure of a pad on the dorsal surface of the fragment, will prevent return of deformity.

With the object of retaining the apposition of the fractured surfaces, by overcoming displacing forces, I have practiced for many years on the principles involved in the splint here illustrated, the application of which will not require much description.

In the treatment of fracture of the lower end of the radius it is essential that proper allowance be made for the curvature of the anterior or palmar surface of this part of the bone. This is insured in the splint which I have devised, which follows correctly the radial curvature; and the fixing of the thenar and hypothenar eminences of the hand in their moulded beds, maintains the splint immovably in its correct position with reference to the radial curve.

To neglect of complete primary reduction of the displacement of the lower fragment, and to inefficient restoration and retention of the normal radial curve, are due the frequent unfortunate sequences of this fracture.

The splint is made of copper, so as to be readily conformable by bending to suit the peculiarities of size and form of forearms. The slight roughness left on back of splint from perforations is for the purpose of keeping the bandage from slipping. It is nickel-plated to prevent oxidation.

The splint will usually fit the forearm so accurately that but little padding will be required, and a piece of woven lint, or of cotton or woolen flannel is all that is necessary for its lining. No dorsal splint is needed, but, as before referred to, a small pad will, in most cases, be required over the dorsal surface of the lower fragment. For retention of the splint an ordinary bandage, two inches and a half to three inches wide, is all that is necessary.

This splint has the merits of being applicable to all cases of fracture of the lower end of the radius, and also to many other injuries involving the forearm and wrist, and, as now supplied, is very inexpensive.

Medical Journal, of May 2d ult., concludes an editorial on "The Meeting at New Orleans" as follows:

"In the choice of its officers for the ensuing year, too, it seems to us that the Association has been ill-advised, for among the general officers we do not recognize one who is widely known as a representative of the American profession."

Well, we must acknowledge that Bro. Foster's able and talented colleagues of the great American Metropolis, both great and small, did fail to find a place among the general officers; but we also desire to call his attention to the fact that out of the great array of medical talent around about him, there were given the Association only two to select from. Granted that those two were well-known and most worthy, yet other States and localities both farther and nearer to the place of meeting than New York, sent likewise able men, in most instances accompanied by large delegations.

Farthermore, we think it rather hard on such men as Brodie, of Michigan, Garnett, of District Columbia, Logan, of Lousiana, Alexander, of Wisconsin, and Peck, of Iowa, that because, forsooth, they have not had the opportunities of advertising themselves by attending on dying Presidents, or sick ex-Presidents, or had been so very unfortunate as to be compelled to practice the healing art faithfully and well for long years outside the din and bustle of Gotham, they are unrecognized as "representatives of the American profession" by so able an exponent of medical thought as the New York Medical Journal.

And again, if perchance Whitaker, of Ohio, is not known in New York, he is in the great Southwest; as is Gordon, of Maine, Sein, of Wisconsin, Smith, of Michigan, Haggard, of Tennessee, and Rauch, of Illinois.

Co.ne to St. Louis next year Bro. F., and we will see if we cannot do something for you.

DR. DUM. RS, of Peoria, reports the case of a man about 45 years of age the janitor of the building in which his office is located, who had been a sufferer from RHEUMATISM for nearly ten