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may cause a generalisation of pre-existing tubercle.War experience has, in their opinion, to a large extent,confirmed the fact that severe and extensive injuriesare not found to be followed by tuberculosis nearly sofrequently as when the injuries have provoked lesssevere reactions. Sergent, Challamel, Leon Bernardare quoted, and the consensus of opinion suggests thatpenetrating wounds of the chest, producing com-paratively little immediate effects, may several yearslater be the starting-point of pulmonary tubercle. Asto traumatic nephritis, traumatism is stated to producein a previously healthy kidney lesions which in theirchronic character and by their extension to the otherkidney are clinically akin to Bright’s disease and maybe confounded with it. The difficulties and problemsraised in accepting this condition as a new diseaseentity are appreciated and discussed. The volume,though somewhat bulky, is worthy of careful perusal.

HODGKIN’S DISEASE.

By R. A. BENNETT, M.D. Lond., M.R.C.P.Bristol: John Wright and Sons. 1923. Pp. 56. 2s.

IN this pamphlet the author gives an excellentstraightforward account of Hodgkin’s disease basedon his own experience of 15 cases and covering muchthe same ground as the articles on the subject in thelarger systems of medicine. The author has no

particular fresh view to bring forward, but in anopen-minded discussion of the causation of thedisease he inclines to the view that it is due to tuberclebacilli which have been altered by the lipolyticferment of lymphocytes operating in individuals of apeculiar disposition. As an empirical trick for con-trolling the bouts of fever, he commends the inunctionof creosote (1 drachm) in the axilla or groin.

BOOKS FOR NURSES.Pocket Cyclopcedia of Nursing. First edition.Edited by R. J. E. Scor, M.A., B.C.L., M.D.New York: The Macmillan Company. 1923.Pp. 746. 14s.THIS pocket cyclopaedia of nursing comes at a time

when the trained nurse and the nurse in training,anticipating examinations by the State, feel a specialneec) for some handy book of reference in additionto the general text-book. The contributors to thisexcellent cyclopaedia include 13 American registerednurses, so that the nurses’ needs have been suppliedby those who appreciate from practical experiencetheir point of view. All subjects are alphabeticallyarranged, and the use of a large number of cross

references takes the place of a general index. Thiscyclopaedia, should be popular, supplying as it doesjust the information which is often sought vainly ina dictionary. The information given is by no meanssuperficial, but has been well chosen, and in cassof disease not only is there a lucid explanationgiven, but a description of the nursing care andtreatment follows. Six excellent pages are devoted todiabetes mellitus, and valuable references made tothe ?psychoneuroses. A number of illustrations areincluded. ————

Principles of Home Nursing. By E. L. MOHS, R.N.,A.B. London and Philadelphia : W. B. SaundersCompany. 1923. Pp. 307. 10s.

Miss Mohs has written a book full of useful informa-tion, but a book more suitable for the trained nurseor the nurse in training than for the lay mindinterested in home nursing. There is an exhaustivechapter on bacteriology with detailed directions as tothe use of the microscope for the observation ofbacteria and the technique employed in makingthroat cultures. The " home nurse " in this countrywould neither be expected to have an extensiveknowledge of bacteriology nor would she be calledupon to take throat cultures, reduce a dislocated jaw,or to understand the sphygmomanometer. Thetitle of this book is misleading, unless it was intendedto imply that it contained information necessary forthe trained nurse in the home.

New Inventions.SUTURE REMOVING FORCEPS.

THE usual methods of removing Michel Clipshave great disadvantages. In one the under blade ofa special pair of forceps has to be forced up againstthe actual wound, and in the other, where two hooksare used, the method is clumsy and the hooks are noteasy to manipulate. I have therefore had made apair of forceps angled twice on the flat with twopoints instead of blades, one point being 1/16 in.

longer than the other. These points are separatedby closing the handles and are normally held togetherby a strong spring. The method of use is to insertthe longer point into an eye of the clip, and whilethis point is steadied the shorter one can easily befitted into the other eye. The handles are then closedand the clip is stretched out flat, being then easilyremoved. There is no discomfort to the patient andthe forceps are very easy to use.

Messrs. Mayer and Phelps, Chiron House, NewCavendish-street, are the manufacturers of theinstrument.

Shrewsbury. FRANK H. EDWARDS, M.B., M.R.C.S.

COMBINED IRRIGATION TRAY ANDPELVIC REST.

THE combined irrigation tray and pelvic rest,here illustrated, is a convenience to the surgeon asit enables him to use a cystoscope, or any otherirrigating bladder or urethral instrument on an

ordinary consulting room couch, or theatre operatingtable. It does away with the necessity for an

expensive special table, and overcomes the objections(instability-splashing of couch and towels) whicharise from the use of a makeshift, such as a sandbagand separate tray or kidney basin. With the backof the consulting-room couch raised, the tray can beused for urethral irrigation with the patient in asitting or reclining posture, with the couch flat it

gives the necessary pelvic elevation for a cystoscopicexamination.

The apparatus, which is strongly made to carrya stout patient, and finished in white enamel, hasbeen made for me by Messrs. Arnold and Sons, of50/52, Wigmore-street, W.

Sheffield. THOS. B. MOUAT, F.R.C.S. Eng.