—The vital statistics of Philadelphia for 1888 furnishes a text for the Medieal Register, which calls attention to the fact that the health of the city has improved, even in the face of a bad sanitary condition. This is accounted for in the exodus of the middle and lower classes to the suburbs which has taken place in the past few years. The death-rate from consumption shows a marked decrease since 1884.
The Penalties of Evolution.
—In answering negatively the proposition, " Are quadrupeds subject to the hæmorrhoidal disease " Dr. William Bodenhamer remarks, in the New York Medical Journal: " If it is true that the erect position of man is the only predisposing cause why he is subject to hæmorrhoids, and why quadrupeds, in consequence of their prone position, are not, it affords a strong argument in favor of the Darwinian theory that we were originally quadrupeds—that