j 
WINTERBOTTOM’S MEDICAL DIRECTIONS FOR NAYIGATORS, &e. 
hydatids were coughed up by an open- 
ing through the diaphragm, with some 
relief to the patient. The case was un- 
‘der the author’s care at the time of this 
communication being made. 
10. ‘* Remarkablecases of convulsions, with 
some observations on the hemorrhois pete- 
‘ehialis, or petechiz sine febre. Communi- 
cated to Dr. Duncan, jun. By Dr. Albers, 
physician in Bremen.” 
~ In the first of those cases, the convul- 
‘sions seem to be produced by the irrita- 
‘tion of an abscess in the ear; in the'se- 
‘cond by an intussusceptio of the intes- 
tine. An intussusceptio was likewise ob- 
served in the dissection of a Mexican 
boy, which died of convulsions. The 
‘case of petechi sine febre is no way re- 
“markable. ‘The patient had a discharge 
of blood from the gums, and the body 
Was covered with petechie. He was 
cured by decoction of bark acidulated. 
11.“ History of a ‘singular case of an 
“extra uterine foetus, fdischarged by the 
“rectum. By Mr. John Goodsir, surgeon 
at Largo.” 
. About the seventh month of preg- 
_mancy the patient felt the child give a 
_, violent struggle, and at once its motion 
_ceased. Symptoms of labour now came 
on, and continued six or seven weeks. 
The patient gradually recovered for as 
many months, and was then seized with a 
“fever, during which she had frequent 
717 
symptomsof labour. She gradually lost 
ground, but ina short time observed a 
thick whitish substance to be discharged 
from the rectum, and on passing her fin- 
ger upwards discovered somethmg hard, 
which was found by the author to 
be the cranium of the child. With con- 
siderable difficulty, and after a good deal 
of time, the whole was brought away, 
and the mother did well. 
12.** Observation sur laCataracte. Par 
A. Mounot, professeur d’Anatomie & 
d’Accouchement a Besancon. Commu- 
nicated by Dr. Inglis.” 
, After giving a general history of this 
operation, the author mentions the usual . 
mode of extracting a cataract; but as he 
has frequently found that the operation 
is unsuccessful, from inflammation at- 
tacking the capsule of the crystalline 
lens, he proposes, immediately after the 
extraction, ** to direct to the posterior 
part of the capsule the same instrument 
by which it was divided anteriorly, and 
to cut it by a crucial incision. Thus the 
vitreous humour replaces the crystalline, 
the pupil is dilated, the eye is bright and 
without clouds, and the patient perceives 
all the objects which present themselves.” 
The remainder of this volume is oc- 
cupied, as usual, with several articles of 
medical intelligence, and with a list of 
new books and inaugural dissertations 
published during the year 1802. 
Aare Il. Medical Directions, for the Use of Navigators, and Settlersin Hot Climates. 
> By Tuomas M. Wixterzottom, M. 
oye pp. 144, — 
.. THE anthor’s long official residence 
at Sierra Leone, gave him an opportu- 
_, nity of acquiring considerable experi- 
_ ence in the diseases of hot climates ; and 
‘the present work is intended to commu- 
 micate the results of it, to sch as may 
have occasion to be exposed to the 
e warmth of the torrid zone. His obser- 
‘vations are not entirely confined to his 
own experience; as itis his wish to pro- 
~ vide general practical directions, for the 
"management of health, and the treat- 
, ment of diseases in tropical climates, for 
, the use of such persons in particular, as 
. may not have the advantages of medical 
advice. The-directions given for the 
eidiagnosis and cure of diseases, will not, 
» therefore, be expected to contain more © 
~ than is already familiar to the practi- 
 tioner who is at all acquainted with the 
~ complaints’ incidental to het, climates. breakfast than any thing medicinal. 
D. Physician to the Colony at Sterra Leone. 
It may be observed of them, however, 
that they are concise and perspicuous, 
and, in proper hands, may be useful. 
The advice given to stttlers, though it 
is that which will apply ina great de« 
gree to any climate, appears to be the 
result of personal observation, and we 
have no doubt, if it is attended to, will 
prove useful. 
The principal circumstances to which 
their attention is required, are, sobriety 
in eating and drinking, early hours, mo- 
derate exercise in the cool of the day, 
flannel clothing, and the removal of 
costiveness. Bleeding immediately after 
arrival, bark and bitters, emetics, and 
cold bathing, appear to.the author to be 
injurious. The unpleasant sensations 
frequently experienced in the mornings 
are more effectually removed by a light 
