involves a risk which sliould be avoided. The Biiare is applicable only to prominent growths. The galvano-cautery leaves little to be desired in the way of results, though the patient could be pardoned if immediately after treatment he made disparaging remarks of the method. The part should be thoroughly cocainized, and but a small area upon one side treated at a sitting. For a few days following treatment the food should be soft and bland, and use of the voice in reading and singing should not be allowed.

The object of the following paper is to present a method of operation wdiich I have employed in a series of 22 cases of old lateral displacement of the nasal bones. The technique is based essen

The object of the following paper is to review briefly our knowledge of anaphylactic shock occurring after the admin istration of antitoxic sera, and to describe some studies which may prove of value in affording indication of the existence of this danger.The subject of anaphylaxis occupies now a relatively large place in literature, but no general agreement has yet been reached in regard to much of its phenomena. For our pres ent purpose, however, it may be useful to quote die following definition of protein sensitization as formulated by V. C. Vaughàn:"(1.) Sensitization consists in developing in the animal a

of steel or iron should be near, when the test is being applied.I wish to thank Prof. D. T. Cumstock of.the Massachusetts Institute of Technology for a number of valuable suggestions concerning the use of magnetism for the above purposes.BIBLIOOIUPHT.

a crow's egg, and the ring would then admit the tip of the little finger. The child then disappeared from the out-patient department.No. 22,324. Six weeks old. Hernia the size of a grape ; umbilical polyp present. After conscientious treatment of 13 months, during which the hernia was apparently healed only to recur, the ring admitted the tip of the little finger, and the baby was then operated on. In three cases where the treatment was given up after a few strappings, a subsequent note mentions the condition of the hernia. In 2, after 11 and 27 months respectively, the hernias had decreased in size, while in a third after 3 years it was decidedly larger.An umbilical polyp, in addition to the hernia, was noted 6 times among the 66 cases.CONCLUSIONS.