1
613 of these muscles which enlarges the chest so as to allow of the indrawin of the air, which act is called inspiration. It is their relaxation which forces the air out again, and accomplishes the expiration." Again as to circulation : "There are also in the veins valves which prevent the blood from returning to the capillaries, but allow it to pass on towards the heart. The muscular pressure to which most of the veins are subject, therefore, arrests the progress of the blood in which it ought to go (sic), and it is in this way that exercise acts as a healthy stimulus to the circulation." Speaking of the stages of icnammation : " There are, first, effusion, in which serum or pus exudes ; secondly, suppura- tion, or the formation of matter." The reason of the pyrexia in inflammatory diseases is that "the inflamed part acts on the system much in the same way that you have seen a small stove able to influence a long series of hot- houses with which it is connected by pipes." It is a pity that the work was not supervised by a physician, so that these inaccuracies might not have blemished an otherwise useful volume. A less pardonable mistake, perhaps, is the insertion of the wrong weights and measures at the end of the volume. Home Gymnastics for the Health. Translated from the German. London : Hamilton, Adams, and Co. 1877.- Although we are of opinion that no system of artificial exercises can replace the natural movements obtained by the pursuit of the usual English pastimes of cricket, row- ing, and rackets for boys, and hunting, fishing, and shoot- ing for adults, still gymnastics are useful substitutes in those cases where, from ill-health or other adverse condition, natural exercise is not attainable. It ought, however, to be a recognised principle at our schools that gymnastics should never be allowed to curtail the hours of natural play. This caution is needed, as it is rather the fashion at the present day to extol the German system of physical education in schools of a certain class. We frequently hear comparisons drawn between the upright carriage of the German youth and the slouch of the English schoolboy ; but critics forget that the slouch is almost a traditional characteristic, and is no sign of languor, debility, or of slack muscles, for the majority of English schoolboys can prove themselves 11 as lithe as cats and as hardy as badgers." Indeed, we be- lieve, in any contest requiring strength and endurance, the English schoolboy, weight for weight and age for age, would be more than a match for the continental youth trained on the artificial system. However, as we have said, gymnastics are useful in certain cases, more espe- cially where it is desirable to exercise certain sets of muscles; and it is also a valuable adjunct in the treat- ment of various chronic affections. In the work before us considerable attention is bestowed on this latter point, and the different exercises recommended for different affections are fully described. Indeed it is easy to see that the exercise of certain muscles, as of the thorax and abdomen,-the movement cure, as it is called in Ger- many, - must have a powerful effect on the contained viscera. Under professional supervision, suitable gymnastic exercises are thus, without doubt, a powerful therapeutic agent; and the present work fulfils a useful purpose in bringing the conditions under which they may be used so clearly, and we may add modestly, forward. Zeict/Mf Biologie. Band XIII., Heft 1. 1877.-Tbis number contains the following papers :-I. Studies on the Methods of Warming adopted in the Schools of Munich, by Dr. E. Voit and Dr. T. Footer. 2. On the Relations of the Compounds which precede the Formation of Urea in the Bodies of Mammals, to the Organism of Fowls, by Dr. W. Enifriem. 3. Histological and Physiological Researches, by G. Valentin. 4. The Rapidity of Nerve Degeneration, by Mr. Gubowitsch. 5. On the Food of the Italian Ziegel- arbeiters, by Prof. Ranke. The researches on warming schools, by Voit and Forster, are very complete and in- structive. They show the amount of combustible material required to heat a house, and the distribution of heat in rooms, both in heated and non-heated, in ventilated and in non.ventilated rooms. They find that in summer buildings are warmed from without, the upper and outer rooms ac- quiring a higher temperature; that ventilation by means of suction draughts causes no remarkable change in the , distribution of temperature; that heated rooms give off a . large portion of their caloric to the rooms above them ; and that the driving in of air which is not made to circulate in ; consequence of its possessing a different temperature, causes J no considerable mixture of air. The subject of the moisture - of the air is also considered, and they show that as a rule r houses are traversed by a current of air from below upwards. b Household Organisation. By Mrs. CADDY. London: o Chapman and Hall. 1877.-This is a book in which amuse- ment and instruction are equally blended, and since it f professes to teach us how we can go comfortably, and even "genteely," through life without excess of servants, we 3 feel that its perusal will be very generally beneficial, espe- - cially to those who think it is possible to he ornamental in 1 this world without being useful. Mrs. Caddy has a sprightly r style, and would shine, we fancy, as a writer of satirical - novels, but she has chosen this better part, and we are - accordingly thankful. THE SMALL-POX EPIDEMIC. THE fatal cases of small-pox in twenty of the largest English towns during the third week of April were 81 against 85 and 77 in the two preceding weeks; 68 occurred in London, 5 in Liverpool (excluding 4 in the Toxteth Workhouse), 5 in Salford, 2 in Oldham, one in Blan- chester (excluding 7 in the Monsall Hospital), and not one in any of the fifteen other towns. In London the small-pox deaths, which had been 78 and 60, in the two previous weeks, were 68 last week. Of these 40 occurred in the Metropolitan Asylum Hospitals, 5 in the Highgate Small-pox Hospital, and the remaining 23 in private dwellings. Excluding one admitted from Chiswick, and di8tr)bubing the ol her 44 hospital cases; the Registrar- General reports that 11 of the deceased small-pox patients bad resided in Hackney, 9 in Southwark, 6 in Bow, 5 in Brthnal Green, 4 in Islington, and 4 in Camberwell; in all 9 belonged to the wst, 20 to the north, 3 to the central, 16 to the east, and 19 to the south group of dis ricts. The fatal cases iu North London showed a marked increase upon the numbers in recent weeks, especially in Haekney. The returns from the Metropolitan Asylum District Hospitals show unmistakable signs of a decline in the prevalence and fatality of small-pox in London. The small- pox patients in these hospitals, which had been 988, 956, and 930 at the end of the three preceding weeks, turther decliued to 881 on the 21st inst. The number ot new cases admitted during the week was 161, against 209 and 228 in the two preceding wfeks. The hospital at Limehouse, which had been used since it was open for the reception of convalescents, is now empty. One of the most hopeful features in the recent returns from these hospitals is a marked decline in the proportional fatality of the cases treated, which almost invariably indi- cates the decline of an epidemic. Excluding the recently opened hospitals at Deptford and Fulham, in the returns from which the cases transferred from other hospitals and the new cases admitted are not fully distinguished, the pro- portion of deaths to completed cases, in the hospitals devoted to small-pox patients, was 241 per cent. during the first four weeks 0f the year, whereas it had declined to 17 3 per cent. during the four weeks ending 21st inst. As the- completed cases during these two periods were 644 and 770 respectively, the numbers are sufficiently large to yield trustworthy proportions.

THE SMALL-POX EPIDEMIC

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613

of these muscles which enlarges the chest so as to allow ofthe indrawin of the air, which act is called inspiration.It is their relaxation which forces the air out again, andaccomplishes the expiration." Again as to circulation :"There are also in the veins valves which prevent the bloodfrom returning to the capillaries, but allow it to pass on

towards the heart. The muscular pressure to which mostof the veins are subject, therefore, arrests the progress ofthe blood in which it ought to go (sic), and it is in this waythat exercise acts as a healthy stimulus to the circulation."Speaking of the stages of icnammation : " There are, first,effusion, in which serum or pus exudes ; secondly, suppura-tion, or the formation of matter." The reason of the

pyrexia in inflammatory diseases is that "the inflamed partacts on the system much in the same way that you haveseen a small stove able to influence a long series of hot-houses with which it is connected by pipes." It is a pitythat the work was not supervised by a physician, so thatthese inaccuracies might not have blemished an otherwiseuseful volume. A less pardonable mistake, perhaps, is theinsertion of the wrong weights and measures at the end ofthe volume.

Home Gymnastics for the Health. Translated from theGerman. London : Hamilton, Adams, and Co. 1877.-

Although we are of opinion that no system of artificialexercises can replace the natural movements obtained bythe pursuit of the usual English pastimes of cricket, row-ing, and rackets for boys, and hunting, fishing, and shoot-ing for adults, still gymnastics are useful substitutes inthose cases where, from ill-health or other adverse condition,natural exercise is not attainable. It ought, however, to bea recognised principle at our schools that gymnastics shouldnever be allowed to curtail the hours of natural play. Thiscaution is needed, as it is rather the fashion at the presentday to extol the German system of physical education inschools of a certain class. We frequently hear comparisonsdrawn between the upright carriage of the German youthand the slouch of the English schoolboy ; but critics forgetthat the slouch is almost a traditional characteristic, and isno sign of languor, debility, or of slack muscles, for themajority of English schoolboys can prove themselves 11 aslithe as cats and as hardy as badgers." Indeed, we be-lieve, in any contest requiring strength and endurance, theEnglish schoolboy, weight for weight and age for age,would be more than a match for the continental youthtrained on the artificial system. However, as we havesaid, gymnastics are useful in certain cases, more espe-cially where it is desirable to exercise certain sets of

muscles; and it is also a valuable adjunct in the treat-ment of various chronic affections. In the work beforeus considerable attention is bestowed on this latter point,and the different exercises recommended for differentaffections are fully described. Indeed it is easy to see

that the exercise of certain muscles, as of the thoraxand abdomen,-the movement cure, as it is called in Ger-

many, - must have a powerful effect on the containedviscera. Under professional supervision, suitable gymnasticexercises are thus, without doubt, a powerful therapeuticagent; and the present work fulfils a useful purpose in

bringing the conditions under which they may be used soclearly, and we may add modestly, forward.Zeict/Mf Biologie. Band XIII., Heft 1. 1877.-Tbis

number contains the following papers :-I. Studies on theMethods of Warming adopted in the Schools of Munich, byDr. E. Voit and Dr. T. Footer. 2. On the Relations of the

Compounds which precede the Formation of Urea in theBodies of Mammals, to the Organism of Fowls, by Dr. W.Enifriem. 3. Histological and Physiological Researches,by G. Valentin. 4. The Rapidity of Nerve Degeneration,

by Mr. Gubowitsch. 5. On the Food of the Italian Ziegel-arbeiters, by Prof. Ranke. The researches on warmingschools, by Voit and Forster, are very complete and in-structive. They show the amount of combustible materialrequired to heat a house, and the distribution of heat inrooms, both in heated and non-heated, in ventilated and in

non.ventilated rooms. They find that in summer buildings’

are warmed from without, the upper and outer rooms ac-quiring a higher temperature; that ventilation by means

of suction draughts causes no remarkable change in the, distribution of temperature; that heated rooms give off a. large portion of their caloric to the rooms above them ; and

that the driving in of air which is not made to circulate in; consequence of its possessing a different temperature, causesJ no considerable mixture of air. The subject of the moisture- of the air is also considered, and they show that as a ruler houses are traversed by a current of air from below upwards.b Household Organisation. By Mrs. CADDY. London: o

Chapman and Hall. 1877.-This is a book in which amuse-ment and instruction are equally blended, and since it

f professes to teach us how we can go comfortably, and even"genteely," through life without excess of servants, we

3 feel that its perusal will be very generally beneficial, espe-- cially to those who think it is possible to he ornamental in1 this world without being useful. Mrs. Caddy has a sprightlyr style, and would shine, we fancy, as a writer of satirical- novels, but she has chosen this better part, and we are- accordingly thankful.

THE SMALL-POX EPIDEMIC.

THE fatal cases of small-pox in twenty of the largestEnglish towns during the third week of April were 81against 85 and 77 in the two preceding weeks; 68 occurredin London, 5 in Liverpool (excluding 4 in the ToxtethWorkhouse), 5 in Salford, 2 in Oldham, one in Blan-chester (excluding 7 in the Monsall Hospital), and notone in any of the fifteen other towns.

In London the small-pox deaths, which had been 78 and60, in the two previous weeks, were 68 last week. Of these40 occurred in the Metropolitan Asylum Hospitals, 5 in theHighgate Small-pox Hospital, and the remaining 23 inprivate dwellings. Excluding one admitted from Chiswick,and di8tr)bubing the ol her 44 hospital cases; the Registrar-General reports that 11 of the deceased small-pox patientsbad resided in Hackney, 9 in Southwark, 6 in Bow, 5 inBrthnal Green, 4 in Islington, and 4 in Camberwell; in all9 belonged to the wst, 20 to the north, 3 to the central,16 to the east, and 19 to the south group of dis ricts. Thefatal cases iu North London showed a marked increase uponthe numbers in recent weeks, especially in Haekney.The returns from the Metropolitan Asylum District

Hospitals show unmistakable signs of a decline in theprevalence and fatality of small-pox in London. The small-pox patients in these hospitals, which had been 988, 956,and 930 at the end of the three preceding weeks, turtherdecliued to 881 on the 21st inst. The number ot new casesadmitted during the week was 161, against 209 and 228 inthe two preceding wfeks. The hospital at Limehouse,which had been used since it was open for the reception ofconvalescents, is now empty.One of the most hopeful features in the recent returns

from these hospitals is a marked decline in the proportionalfatality of the cases treated, which almost invariably indi-cates the decline of an epidemic. Excluding the recentlyopened hospitals at Deptford and Fulham, in the returnsfrom which the cases transferred from other hospitals andthe new cases admitted are not fully distinguished, the pro-portion of deaths to completed cases, in the hospitals devotedto small-pox patients, was 241 per cent. during the firstfour weeks 0f the year, whereas it had declined to 17 3 percent. during the four weeks ending 21st inst. As the-completed cases during these two periods were 644 and770 respectively, the numbers are sufficiently large to yieldtrustworthy proportions.