The Handbook has now been thoroughly revised, and is in process of printing. The publishers will probably be enabled to have it ready for distribution soon after this number of the Journal is in the hands of our readers. As their stock has been exhausted for some time, and the demand continues urgent, we make special acknowledgment of the energy and labour bestowed upon the production of the fourth edition by the Committee, and we trust that the improvements made will still further secure that confidence of teachers and nurses which has been so freely bestowed in the past.