7. When thalline is given hypodermically, its action is more rapid and enduring than when administered by the mouth.

8. Thalline much resembles kairine in its action, but acts more rapidly, powerfully and surely. Moreover, its secondary effects are not so injurious as those of kairine.

9. Thalline cannot be placed in the same rank as quinine, antipyrine, and salicylic acid.

IO.

Neither the duration nor course of infectious diseases are influenced by thalline.

II. All acute diseases, in which a rapid reduction of temperature is a desideratum, may be treated by thalline. The subcutaneous method of administration is to be preferred.

12. If the system is enfeebled, this drug must be given in small doses and with great caution; from 20 to 25 centigrammes (3 to 4 grs.) are sufficient.

13. The two salts of thalline (sulphate and muriate) have the same action.

14. Atropin will not arrest the perspiration produced by thalline.

15. The red blood corpuscles are not destroyed by thalline. According to the author, the rapid and powerful effects of thalline can be explained only by assuming that it acts upon the nervous centers which control the temperature of the body.— Bull. Gen. de Therapeutique.

LABOR IN THE HYPNOTIC STATE.

In the Courier of Medicine, a correspondent from Vienna reports a labor occurring to a woman, 26 years old, while under hypnotic influence.

In September last, it was found that she was very susceptible to hypnotic influence, by fixing her gaze upon any bright object held a short distance from the eyes.

On October 31st, in the morning, she came to the lying-in ward. Pains were frequent, prolonged, but weak. She continued in the first stage till 8 P. M., when the membranes were

In

ruptured. The pains began to increase in force, and at 10.30 o'clock she was hypnotized by looking at the bright end of a thermometer. In a few seconds she became unconscious. three minutes another pain of 30 seconds' duration came, and no evidence of her being conscious of it other than a slight twitching of the left hand as it began. The pains came regularly, increasing in force and duration till, at 11.15 P. M., she was delivered. She was unconscious of pain produced by pricking with a knife or pin, and the conjunctiva was insensible. She had the "bearing down," and it no doubt was reflex.

After delivery of the placenta, with some effort, she was partially aroused, and being asked how she felt said, “Very well, but very sleepy." She went to sleep again and did not awake till 4 A. M. She would not believe that she was delivered, was surprised at the smallness of her abdomen, and stated that she had experienced no pain.

THE OVERGROWTH OF SURGERY IN GYNECOLOGY.

Under this title we notice an extract in the Obstetric Gazette, the contents of which cannot be better reproduced than by quoting it verbatim: "A. J. C. S., in the Medical Digest, judging from current literature, one gets the impression that the whole art of gynæcology is reduced to abdominal surgery, with an occasional plastic operation about the cervix uteri or perinæum. The published transactions of the gynæcological and obstetrical societies of the larger cities of this country are made up of great operations. The removal of the ovaries, tubes, uterus, and all forms of tumors connected with these organs, seems to be the whole occupation of those who practice gynæcology. If these specialists and their assistants condescend to treat the diseases of women which do not require heroic surgical treatment, they evidently do not consider such practice worth mentioning. There is certainly great surgical activity in this department, so much so, that we are led to hope that a

reaction may soon come a change which will bring up the medical side of the subject. It is time that the knowledge, judgment and skill of the physician should receive as much attention and consideration as the daring operations of the surgeon. In the crop of gynæcologists coming up at this time, we find nearly all of them thirsting for big operations like hysterectomy and ovariotomy. It would be well if these were men who could be called physicians.

PUERPERAL PEPTONURIA.

Dr. Ettore Truzzi has made 350 observations regarding this affection, and draws the following conclusions from his cases:

The appearance of peptones in the urine is of frequent occurrence during the first days after parturition, though it is not observed so often as Fischel would have us believe.

2. Puerperal peptonuria usually begins the second day after labor, increases on the third, reaches its maximum on the fourth, and ceases about the ninth day.

3. The pathology is obscure. Among the causes deserving attention are uterine involution and the constitution changes, which take place after parturition.-Il Raccoglitore Med.

WARTS.

Isquierdo has discovered that warts are neoplasms of connective tissue anatomically resembling the sarcomata. He finds large numbers of schizomycetes in the interstices of the fibrous and cellular elements and in the vessels. These schizomycetes are also found in the vessels of the healthy skin about the warts. He believes that these are specific bacteria which circulate in the blood, clogging the vessels of the skin, thus causing, by irritation, the development of the neoplasms. The bacilli verruca are somewhat larger than those of tuberculosis (from 8 to 20 micromillimeters in length), and have nodosities on their sides.-Gaz. degli Ospidali.

Medical News.

EXTIRPATION OF THE LARYNX.

Dr. J. Baratoux gives, in the Progrès Médical for March 27, 1886, a tabular statement of the cases of this operation performed up to the date of his writing, March 1, 1886. The larynx was first extirpated successfully by Watson, of Edinburgh, in 1866. He was followed by Billroth in 1873, and one hundred operations have, since been performed. Three cases have been operated on in Ameria, one each by Lange and Gerster, of New York, and by Roswell Park, of Buffalo.

Of the 102 operations, 73 were for cancer or epithelioma, 10 for sarcoma, 10 for necrosis, stenosis or polypus, and 9 for unascertained causes. In 97 cases the result is known, 83 being cases of total extirpation and 14 of partial.

These tables show that the mortality following this operation is just two-thirds, there having been 32 recoveries and 64 deaths.

Missouri is to have a crematorium, located, probably, in St.

AMERICAN PUBLIC HEALTH ASSOCIATION.

The next (14th) annual meeting of this Association will be held in Toronto, Ont., October 6-8, 1886.

The Executive Committee have selected the following topics for consideration at said meeting:

I. The Disposal of the Refuse Matters of Cities and Towns. II. The Condition of Stored Water-Supplies, and their Relation to the Public Health.

III. The Best Methods and the Apparatus Necessary for the Teaching of Hygiene in the Public Schools, as well as the Means for Securing Uniformity in such Instruction.

IV. Recent Sanitary Experiences in connection with the Exclusion and Suppression of Epidemic Disease.

V. The Sanitary Conditions and Necessities of SchoolHouses and School-Life. (See Lomb Prize Essays.)

VI. The Preventable Causes of Disease, Injury, and Death in American Manufactories and Workshops, and the Best Means and Appliances for Preventing and Avoiding them. (See Lomb Prize Essays.)

VII. Plans for Dwelling-Houses. (See Lomb Prize Essays.)

THE MICRO-ORGANISMS OF POTABLE WATER.

A writer in the Revista Italiana di Igiene has been studying the bacteria in the water supply of Monaco. He finds that the water on arriving in the city, whither it is conducted through iron pipes under a pressure of from five to six atmospheres, contain five micro-organisms per cubic centimeter. After standing twenty-four hours, the number of micro-organisms increases to twenty per cubic centimeter. In two days the number is 10,500, in four days 315,000, and on the fifth day there are over half a million per cubic centimeter. He has also ascertained that the development of the micro-organisms is not retarded, as is generally supposed, by the movement of the water. This he has demonstrated by placing the water in receptacles kept in constant motion. In mineral and carbonic acid water, bottled under pressure, however, the number of micros.opic organisms does not increase, but diminishes.