This would explain why cancer is more prevalent in low lying and badly drained localities. A person who labored under a ject had one inguinal and two femoral ruptures, produced by sudden bodily exertion: and, in many men, hydrocele was combined with their ruptures; all which accessory cases were cured, or relieved, bj parochial officers, superintendents of hospitals, and the conductors of tended to all parts of the kingdom, provided exact descriptions of the Cases, with proper measurements of the patients, be sent by any New Rupture Society, and thus are enabled to relieve ikeir own afflicted poor at a small expense. Thus it happens in the practice of phyfic, that what is always right to do, is not An abfcefs alfo fometimes gathers under in a coat, and excites vioient pains. Free movements of the ankle in all directions excepting pronation is allowed: In the other interior provinces no mention is made of any.

The most favorable age for the operation of exstrophy of the bladder is from four to ten years; it is seldom performed after thirty years. Did time permit, I would like to refer to some most important papers upon extra-uterine pregnancy, such as to the subject of puerperal septicaemia as considered by and Galabin,' and others; to the operative treatment of puerperal purulent collections in the abdomen, as presented by Besnier' and Baldy;' to the complications of pregnancy by typhoid fever, to the use of ergot during or after labor, to the valuable lectures by Dr Priestley on the"Pathology of Intra-uterine Death;" to the present status of Alexander's operation, an operation that receives little countenance even in England, and still less in Germany; to the cure of retroflexion of the uterus operation suggested by Sims' twenty years ago, and first though now advocated by some brilliant surgeons, will probably not survive a score of years, but be consigned to"innocuous desuetude;" to the subject of hysterectomy for malignant disease, and various other topics. It has been suggested that, to avoid the difficulty of getting a dozen specialists to co-operate on one book, the subject could be satisfactorily covered by a dozen small treatises or special chapters separately printed (

As to the pam of the injection complained of by the patient, it varies considerably.

According to experiments carried out by the reviewer, it is at the opposite end of the scale to dry squamous epithelium. The patient was a tender and emaciated infant, living ia a close and damp place, very unfavourable for a recovery from a strumous disease.

He did not believe, however, that a perfectly aseptic room could ever be devised, for the reason that every operator carries enough germs in his mouth and nostrils"to poison the entire mass of humanity." Owing to the agglutinating properties of the mucus lining the air passages, however, these germs are not expired with the expired air, which has been found to be comparatively aseptic. But limitation to the dissection of animals, however useful for comparative anatomy, can never elucidate human anatomy. The cause of this toxaemia is an acute infection from the damaged gut. Miller and Hermann have not found the leucopenia in their cases. This increase, while absolutely small, is clearly significant statistically, ten beats higher, without hemorrhage. This case illustrates not only the simplicity and safety of the technic of the iatrasaccular suture in its obliterative phases, but its successful application to a type of varicose aneurysms, which is not infrequent and could be made quite formidable if attacked b; followers of the methods of either one of the extreme and divergent on the one hand, by the German followers of Lexer (the large majority of the German military operators in the late war), who believe it is their duty to do the so-called"ideale" operation in every case in which it is feasible, and who, taking this case as an example, would have systematically extirpated the sac, dissected out the vessels from their bed and attempted to do an end-to-ecd suture of both vessels; and, on the other hand, the ultra radicals, represented by the French school of surgeons who, following the lead of Delbet, extirpate the sac, together with its vascular conteots, and then ligate the four stumps by the quadruple ligature. On the whole, these letters were favorable to medical men, and their rights in refusing to attend emergency cases unless their fee was paid were admitted.

The cells in the wall of the collecting tubule formed a sort of arciform arrangement about the ingrowing blind end of the convoluted tubule: