Vaginal Ovariotomy

single case was to be met with at the hospitals.From the last-named year until the present time it has again attacked that part of the country very severely, but it seems now to be fast decreasing.As to the en- demic causes of this periodicity, tho professor said he should regard them as in some relation to the atmospheric pressure, for when during the short summer the average stand of the barometer is high, the stand of the water is low, and the bottom of the sea is uncovered in the number- less small creeks and bays in the Gulf of Finland.No tide is percep- tible there, and the bottom lies exposed in the sunshine, forming a rich source for miasmatic exhalations.When, on the contrary, the average stand of the barometer is low, all is covered with water, and the sum- mer is rainy and cold, but free from this fever.The abdominal form of typhoid fever may be called endemic in Fin- land, for cases of that fever occur every year, and at every part of the year, although sometimes with less, sometimes with more, intensity and frequency.At periods when the malarial fever is very intense, cases are often seen exactly like those described by Dr. Woodward.These cases occur mostly in spring and autumn, and particularly in the month of August, which in that country of short summers is considered as a part of autumn.For this reason this fever commonly is called " Augustifeber."Professor Estlander added that the reporter has named this form of fever typho-malarial to designate it as a hybrid of the typhoid and tho malarial, and that ho was glad to accept this name and its signification.It is a well-known fact that during a period when the ma- larial tendency is predominant many diseases combine with this fever in a curious way, as, for instance, diarrhoea and bronchitis, particularly in children ; and therefore such an association of these separate infections as the name typho-malarial implies has many analogies in pathology.--.