rect to regard endocarditis as a separate entity; he thinks "pancarditis" will be the diagnosis in the future. He says that "an exposition of our knowledge of endocarditis must be based on the following principles: First. That endocarditis is always part of a general infection, the severity of which determines the clinical course. Second. That the endocardium is never affected alone, but also the entire heart. The work of the heart may be interfered with by insufficient closure of the diseased valves, or as a result of the narrowing of their orifices, but also as a consequence of the loss of power in the heart muscle following lesions which affect this structure directly, and which arise from either inflammatory or degenerative processes." third part of the book, also by Von Jürgenson, deals with chronic valvular disease.

The

Von Jürgenson draws freely on his very extensive clinical experience, and the numerous case reports given are not the least valuable portion of his text. He gives a great mass of information, but his manner of presentation and his style, as seen through the translation, lack occasionally in clearness. He is rather hard reading. But whoever takes the trouble to read him through carefully will be amply rewarded. The general practitioner will probably regret that so much space is taken up with pathology and symptomatology and discussion of controversial points, and so little, comparatively, with treatment. But what is given on treatment is good. We note 'with pleasure that the author, unlike most, recommends strophanthus in what we have long considered to be near the correct dosage.

The fourth part of the book, on diseases of the myocardium and nervous diseases of the heart, by Krehl, is particularly to be commended not only for the wealth of valuable information it contains, but also for the lucid manner and readable style in which the various subjects are presented.

The fifth part, by Von Schrötter, is on diseases of the pericardium. The author condemns blistering of the precordium for the purpose of promoting absorption of the exudate, and advocates diuretin as the best diuretic.

E. E. CORNWALL.

STATE BOARD QUESTIONS AND ANSWERS. By R. MAX GOEPP, M.D., Philadelphia and London, W. B. Saunders Co., 1908. 684 pp. 8vo. Price, $4.00, net. As the title tells the whole story of this publication there is little for the reviewer to add, beyond a word as to its purpose and scope. Dr. Goepp has systematized between the covers an abundant selection from the questions asked by the Examining Boards of a number of states in past years, and has appended a concise answer to each. Physics, chemistry, physiology, anatomy, hygiene, materia medica and therapeutics, practice of medicine, surgery, obstetrics, gynecology, pathology and bacteriology are all abundantly covered. The arrangement, selection, material and presentation of the various subjects calls for favorable comment. It should prove of decided service to the student as a quiz compend as well as a useful method of review not only in preparation for state examinations but for reference later. To the man who has grown rusty in his elementary subjects and who has, to face the problem of removal to another state the book will be invaluable. HENRY G. WEBSTER.

GYNECOLOGY AND ABDOMINAL SURGERY. Edited by HowARD A. KELLY, M.D., F.R.C.S. (Hon. Edin.) and CHARLES P. NOBLE, M.D., S.D. Vol. 2. Philadelphia and London, W. B. Saunders Co., 1908. iv, 862 pp. 4to. Cloth, $8.00, net.

In abdominal surgery the work of the gynecologist and the general surgeon must of necessity somewhat overlap, but because of the intimate physiological and pathological relation of the female pelvic organs of generation with the other organs and tissues within the rest of the abdomen, the whole field of abdominal

surgery in woman belongs without question to the gynecologist. No gynecologist of to-day is worthy of the name unless he is equipped with the necessary knowledge to enable him to attack on the spur of the moment any complication that may arise either in the upper or in the lower abdomen when he opens it for what at first seemed to him to be the simplest character of an operation; nor should the general surgeon operate within the female abdomen unless he is well grounded in the best technique of gynecologic operations; hence to meet the needs of just such operators, this compilation by Doctors Kelly and Noble has been brought out, each department having been written up by men who have developed special aptitude along those particular lines of work. The first volume previously re-. viewed is devoted more to gynecology proper, while this, the second volume, deals with the surgery of the entire abdomen, the female breast, and hernia.

On looking over the names of the different writers, as the eyes fall on those of Murphy of Chicago, who wrote the chapter on Intestinal Surgery; Ochsner, who wrote on the subject of the gall-bladder and liver surgery; B. G. A. Moynihan of Leeds, England, on the stomach; Eugene L. Opie of New York, on the pancreas; as well as others of equal ability, and especially those of the compilers themselves-such names should convey to the reader a sufficient guarantee of the real merit of this estimable work.

FREDERIC J. SHOOP, M.D.

ADENOMYOMA OF THE UTERUS. BY THOMAS STEPHEN CULLEN. Illustrated by HERMAN BECKER and AUGUST HORN, Philadelphia and London, W. B. Saunders & Co., 1908. xiii, 270. 4to. Cloth, $5.00, net. Adenomyoma is so rarely met and even more has been so rarely recognized, perhaps owing to our meager knowledge of the subject-call it ignorance-that Cullen's protean monograph really opens up a new chapter in gynecological diagnosis.

To the large majority of surgeons, adenomyoma of the uterus is an unknown lesion. It was due to the author's careful inspection one day, of a suspicious uterus (presumably diagnosed as a fibroid?), which had been removed, that his thoughts were directed towards a careful and painstaking study of later oblated uteri for the occurrence of adenomyoma. The second adenomyoma was not discovered till a few months later. Since then the author has encountered over ninety specimens, showing that the lesion probably exists more frequently than is supposed. Many of us have undoubtedly encountered such a case, but thinking it a fibroid and not recognizing the pathological character of the growth, passed it by. Cullen has gone exhaustively into the subject of the probable origin and believes that the uterine mucosa is responsible for the growth of the glands. He determined to present also a clinical picture of the growth so that it could be easily recognized. The chapter on "Symptoms" shows that adenomyoma has a definite clinical history and that in the majority of cases it can be diagnosed with almost positive certainty.

One interesting feature of the book is that each of the numerous cases is tabulated, with an account of the patient's present condition, the examination, diagnosis, operation, and histological examination of the specimen. The volume is profusely illustrated with full page plates in which the artistic work of Becker and Horn faithfully portrays the pathological pictures of adenomyoma. The type is easily legible and the whole book reflects the printer's art.

It is a distinct contribution to medical literature and a notable addition to the scientific advance of gynecology. CLARENCE R. HYDE.

MEDICAL GYNECOLOGY. By SAMUEL WYLLIS BANDLER, M.D., Philadelphia and London, W. B. Saunders Co., 1908. 676 pp. 8vo. Cloth, $5.00, net.

That there is a non-operative side of gynecology is evidenced by the publication of text-books on medical

gynecology. This phase of women's diseases could well be termed conservative treatment. It plans to accomplish much for those numerous conditions in which operation has long been regarded as dernier ressort. Many factors such as physiological processes, heredity, predisposition, mental disturbances, the emotions, marital relations, all these have an important bearing on pelvic conditions. Many minor operative possibilities can be eliminated by medical treatment, and even so ameliorated that operative procedure is an unnecessary choice. Movable retroversion, menstrual affections, neuralgias, constipation, nervous phenomena, leuchorrhea, and even uterine bleedings often respond to intelligent medication and office treatments.

The book is profusely illustrated with original drawings, while the subject matter is presented in an interesting and readable style. The author has as collaborators several well known specialists who have written exhaustively in their own particular field. CLARENCE R. HYDE.

HEART DISEASE AND THORACIC ANEURYSM. By F. J. POYNTON, M.D., F.R.C.P. London, H. Frowde, 1907. Col. front., x, 310 pp., 17 pl., 12mo. Cloth, $2.00, net. This treatise on diseases of the heart is well suited to the needs of the general practitioner who desires the essentials of the subject clearly but concisely presented. Although compendious it is much more than a simple digest, and reflects the individuality of the author. A noteworthy feature is a full and comprehensive account of rheumatic disease of the heart. This account is enriched with several microphotographs of the diplococcus rheumaticus, which seems to be the long sought specific cause of rheumatic fever. E. E. C.

AUSCULTATION AND PERCUSSION.

Together with the Other Methods of Physical Examination of the Chest. By SAMUEL JONES GEE, M.D., Fifth Edition. London, H. Frowde, 1907. xviii, 325 pp., 12mo. Cloth, $2.00, net.

This choice little book presents the essentials of physical examination of the chest in a masterly manner. It is divided into two parts. In the first, the various physical signs are explained and described so that they can be identified, and in the second, the signs belonging to the different diseases are grouped together so as to bring out their differential diagnostic signifiE. E. C.

cance.

THE DISEASES OF CHILDREN. A Work for the Practising Physician. Edited by Dr. M. PFAUKDLER and Dr. A. SCHLOSSMANN. English Translation Edited by HENRY L. K. SHAW, M.D., and LINNAEUS LA FÉTRA, M.D. With an Introduction by L. EMMETT HOLT, M.D. In Four Volumes. Philadelphia and London, J. B. Lippincott Co., 1908. 4 vols., 4to. Cloth, $20.00, net per set.

As an addition to the library of the specialist in pediatrics, the four volumes before us are of much value. As a part of the library of the general practitioner, they are of less value. Despite the fact that much greater interest is shown in pediatrics to-day than a few years ago, the subject of the diseases of children must be presented to the average practitioner in an attractive and concise way.

For instance, the 200 pages devoted to symptomatology is of doubtful value, as there is no attempt to place definite values. This is followed by the section on "Prophylaxis," which is of large value and is well worth a careful study.

The bulk of the work is good. But there is here the same criticism which applies generally to all books worked out upon a system-marked evidence of contradiction and lack of unity.

It is particularly unfortunate that with the 2,100 and odd pages comprising the four volumes, less than 21 pages are given to the general index. In a work of this bulk, the chief value is as a work for reference,

and that necessitates a full index. With complete indexing, the usefulness and value of the four volumes would be greatly enhanced.

The illustrations are carefully selected, well executed and of considerable value for instruction. The general make up of the set is a credit to the publishers.

THE READY REFERENCE HANDBOOK OF DISEASES OF THE SKIN. BY GEORGE THOMAS JACKSON, M.D. Sixth Edition, Thoroughly Revised. New York and Philadelphia, Lea-Febiger, 1908. 737 pp., 8vo.

Nothing can be said in criticism of a work that has gone into the sixth edition. The success of Dr. Jackson's elaborated dermatological encyclopedia speaks for itself. The reviewer has had the honor of reviewing a number of the other editions, and can only repeat that this is without doubt the best alphabetically arranged work on dermatology that has ever been published.

The sixth edition has been greatly improved by the addition of much new matter. The work will appeal to any one who wishes some concise directions regarding any skin affection. J. M. W.

THE SKIN AFFECTIONS OF CHILDHOOD. By H. G. ADAMSON, M.D., M.R.C.P. London, H. Frowde, 1907. Front., xvi, 287 pp., 11 pl., 12mo. Cloth, $2.00, net. The title "Skin Affections of Childhood" is unfortunate, for this little work is a complete and concise treatise upon the commoner skin diseases; and on account of the convenient size, clear description of the diseases and the accurate directions regarding treatment, it could be recommended to the general practitioner as a ready reference book upon cutaneous diseases.

J. M. W.

SYPHILIS: A Treatise for Practitioners. By EDWARD L. KEYES, Jr., A.B., M.D., Ph.D. New York and London, D. Appleton & Co., 1908. xxix, 577 pp., 7 col. pl., 2 pl., 8vo. Cloth, $5.00, net.

The name Keyes on the title page of a work on syphilis goes a long way to guarantee its worth.

The book under review is a complete treatise on syphilis crowded in one volume of some 575 pages. It would seem that the subject of syphilis could not be properly considered in so limited space, but Dr. Keyes has succeeded in making a book that will appeal to the busy practitioner, for it covers most if not all of the important points in syphilology.

The next edition could be benefited by a free use of the blue pencil, for it would seem that some subjects could be more concisely stated, and the work would be greatly improved if it was pruned of its superlatives. J. M. W.

FUNCTIONAL NERVOUS DISORDERS IN CHILDHOOD. By LEONARD G. GUTHRIE, M.A., M.D., F.R.C.P. London, H. Frowde, 1907. x, 300 pp., I pl., 8vo. Cloth, $3.00, net.

It is unfortunate that with our present limitations in the study and understanding of disease we are still compelled to use the word "functional."

And it is such volumes as the present one under review which will materially aid in doing away with instead of perpetuating the need of the word. A clearer insight into functional nervous disorders in children will stimulate the studies and investigations of those who will soon discover the real basis for such.

This volume will do much in this direction. It is a stimulant to thought, it adds much to our present knowledge of these conditions.

The contents are chiefly lectures or addresses which have been delivered from time to time but that does not detract from their value.

LEGRAND KERR.

LEGISLATIVE NOTES.

The Committee on Legislation herewith presents the list of members of the Senate and Assembly for the year 1909. Members of the Society can refer to this list at any time that it may seem advisable to write to their Assemblymen or Senators in regard to legislative matters and all are requested to look it over so that if among those represented there are any men known to them personally they can write them, if requested by the Committee on Legislation to assist or oppose any bills before the Legislature.

In the next issue of the Journal it is hoped to be able to print the Committees, which had not been appointed when this issue went to press.

Horace White, Lieutenant-Governor and President of the Senate, Albany. Home Post Office, Syracuse. John Raines, President Pro. Tem., Canandaigua. L. B. Gleason, Clerk, Delhi.

II. *Christopher D. Sullivan, D., 58 Rutgers. 12. Timothy D. Sullivan, D., 58 E. 4th. 13. William J. A. Caffrey, D., 25 Renwick. 14. *Thomas F. Grady, D., 151 E. 30th. 15. *Thomas J. McManus, D., 452 W. 49th. 16. Robert F. Wagner, D., 1297 Lexington Ave. 17. *George B. Agnew, R., 9 W. 56th. 18. Alexander Brough, R., 234 W. 103d.

19. Josiah T. Newcomb, R., 28 St. Nicholas Pl.

20. James J. Frawley, D., 180 E. 95th.

21. Stephen J. Stilwell, D., 3311 Olinville Ave. 22. George M. S. Schultz, D., 38 Park Row.

STATE.

23. Howard R. Bain, D., St. Mark's Pl., New Brighton, S. I.

24. J. M. Wainwright, R., Rye.

25. John B. Rose, R., Roseton.

26. John F. Schlosser, R., Fishkill Landing.

27. *John N. Cordts, R., Kingston.

28. *William J. Grattan, R., Cohoes.

29. Victor M. Allen, R., Troy.

30 Edgar T. Brackett, R., Saratoga Springs. 31. William A. Gardner, D., Amsterdam.

32 *Seth G. Heacock, R., Ilion.

33. *James A. Emerson, R., Warrensburg.
34. *William T. O'Neil, R., St. Regis Falls.
35. *George H. Cobb, R., Watertown.

36. Frederick M. Davenport, R., Clinton.
37. *Jotham P. Allds, R., Norwich.
38. Hendrick S. Holden, R., Syracuse.

39. *Harvey D. Hinman, R., Binghamton.
40. Charles J. Hewitt, R., Locke.
41. Benn Conger, R., Groton.
42. John Raines, R., Canandaigua.
43. Frank C. Platt, R., Painted Post.
44. George H. Witter, R., Wellsville.
45. George L. Meade, R., Rochester.
46. Charles J. White, R., Brockport.

*Henry J. Williams, R., Downsville. DUTCHESS.

1. *Myron T. Smith, R., Millbrook.
2. Everett H. Travis, R., Poughkeepsie.
ERIE.

1. *Orson J. Weimert, R., Buffalo.
2. John Lord O'Brian, R., Buffalo.
3. Leo J. Neupert, D., Buffalo.
4. Edward D. Jackson, D., Buffalo.
5. Edward P. Costello, D., Buffalo.
6. James M. Rogan, D., Buffalo.

7. Gottfried H. Wende, D., Buffalo.
8. *Clarence MacGregor, R., Buffalo.
9. *Frank B. Thorn, R., Orchard Park.

Salary $1,500

1. Henry S. Goodspeed, R., 183 Columbia Hgts. 2. William J. Gillen. D., 12 Vanderbilt Ave.

3. Michael A. O'Neil, D., 12 Luquer.

4. George W. Brown, R., 266 Hewes.

5. *Charles J. Weber, R., 775 Hancock.

6. *Thomas J. Surpless, R., 322 Pulaski.

. 9, No.

7. *Thomas J. Geoghegan, D., 383 19th St. 8. John J. McKeon, D., 413 Smith.

9. *George A. Voss, R., 545 76th St.

10. *Charles F. Murphy, R., 150 Lafayette Ave. II. *William W. Colne, R., 11 Irving Pl.

12. *George A. Green, R., 360a 5th.
13. *John H. Donnelly, D., 212 Withers.
14. *James E. Fay, D., 82 Franklin.
15. *John J. Schutta, D., 186 Russell.

16. Robert H. Clarke, R., 1657 Shore Road.
17. *John R. Farrar, R., 472 Jefferson Ave.
18. *Warren I. Lee, R., 156 Woodruff Ave.
19. Felix J. Sanner, D., 58 Bremen.
20. *Harrison C. Glore, R., 391 Fulton.
21. *Samuel A. Gluck, D., 42 Humboldt.
22. Albert Lachman, R., 372 Palmetto.
23. *Isaac Sargent, R., 914 Herkimer.

LEWIS.

*C. Fred. Boshart, R., Lowville.

LIVINGSTON.

*J. W. Wadsworth, Jr., R., Mount Morris.

MADISON.

*Orlando W. Burhyte, Brookfield.

MONROE.

1. Edward H. White, R., Rochester Junction.

2. *James L. Whitley, R., Rochester.
3. Louis E. Lazarus, R., Rochester.
4. Cyrus W. Phillips, R., Rochester.

5. John J. McInerney, R., Rochester.
MONTGOMERY.

*T. Romeyn Staley, R., Amsterdam.
NASSAU.

*William G. Miller, R., Freeport.
NEW YORK.

I. *Thomas B. Caughlan, D., 81 Varick.
2. *Alfred E. Smith, D., 28 Oliver.
3. *James Oliver, D., 152 Leonard.

4. Aaron J. Levy, D., 460 Grand.

5. *John T. Eagleton, D., 3 St. Luke's Pl.

6. *Adolph Stern, D., 279 E. 3d.

7. Peter P. McElligott, D., 229 10th Ave.
8. *Moritz Graubard, D., 86 Orchard.
9. John C. Hackett, D., 500 W. 41st.
10. Harold Spielberg, D., 64 7th.
11. Owen W. Bohan, D., 411 W. 49th.
12. *James A. Foley, D., 314 E. 19th.

13. *James J. Hoey, D., 879 10th Ave.

14. *John J. Herrick, D., 150 E. 41st.

15. *W. M. Bennett, R., 225 Central Park West. 16. *Martin G. McCue, D., 155 E. 47th. 17. *Frederick R. Toombs, R., 16 W. 94th. 18. *Mark Goldberg, D., 222 E. 72d. 19. Andrew F. Murray, R., 348 W. 118th. 20. *Patrick J. McGrath, D., 330 E. 81st. 21. *Robert S. Conklin, R., 361 W. 123d. 22. George W. Baumann, D., 549 E. 87th. 23. James A. Francis, R., 172 W. 141st.

24. Thomas A. Brennan, D., 1343 Lexington Ave. 25. *Artemas Ward, Jr., R., 24 E. 11th.

26. Irving J. Joseph, D., 1421 Madison Ave.

27. *Beverley R. Robinson, R., 42 W. 37th.

28. Jacob Levy, D., 1885 Lexington Ave.

29. Lindon Bates, Jr., R., 14 E. 60th.
30. *Louis A. Cuvillier, D., 228 E. 123d.

31. Samuel Marks, R., 32 W. 113th.
32. Jesse Silberman, D., 436 E. 138th.

33. Philip J. Schmidt, D., 364 E. 158th.

34. Charles Stein, D., 1400 Clinton Ave.

35. *John V. Sheridan, D., 3118 Webster Ave.

NIAGARA.

1. Joseph A. Jordan, D., North Tonawanda. 2. *W. Levell Draper, R., Wilson.

ONEIDA.

1. John W. Manley, D., Utica.

2. *Ladd J. Lewis, R., Sauquoit.

3. C. Robt. Edwards, R., Rome.