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United States Government and to inform it of the best capacity in which they could serve. Due stress was laid upon the comparatively small membership. By next year as many as possible should be prepared for service in both the Army and Navy. It was suggested that the members of the Association could render great service as consultants. The capacity of the hospitals should be increased to meet the demands. Dr. William H. Welsh of Baltimore said that this subject had been considered by the proper authorities and that the Surgeon General of the Army had spoken to him of the vital importance of speeding up and graduating students, for which the speaker thought at present there was practically no need. There was no necessity for such hasty action. It was not necessary either that the medical schools should take students during the summer. Studies of Digestion. — Dr. Frank W. White of Bos- ton read this paper, in which he considered the fol- lowing: buy viagra belfast (A) Effects of Stimuli from the Lower Bowel on the Rate of Emptying the Stomach: In some persons with partial obstruction in the ileocecal region the stomach emptied very slowly, without any lesion of the stomach being found at operation. Experiments on animals showed that when the colon was strongly irri- tated by injections the stomach retained food much beyond normal limits. Evidently a strong stimulus from the bowel was needed to slow the human stomach, for it was found that the stomach emptied within the normal five or six hours, viagra women shop in some cases with ileal stasis of two or more days' duration, and in most cases with good-sized twelve-hour residue in the ileum, and also when the colon was distended by a large enema. (B) The Effect of Massage viagra women shop on the Colon: Cannon's method of direct examination of the bowel and the r-ray was used in studying the human colon at inter- vals after giving abdominal massage (especially of the colon). There was great variation in different persons in the accessibility of parts of the colon to massage. Vigorous massage usually mashed up the contents of the colon, but had little or no immediate effect in mov- ing viagra women shop the buy viagra belfast contents forward. When a full cecum was apparently emptied at once it was found that gas had moved forward and solid contents merely flattened out in both directions. Massage sometimes delayed but usually hastened the passage of colon contents at the end of several hours, evidently by stimulation of slow peristalsis. The effect of this stimulus was small in comparison with the stimulus of taking food. A rapid onward "mass movement" of buy viagra belfast a large portion of colon contents was seen very rarely (twice) after massage. These large movements had no direct relation to the force of massage, but followed gentle buy viagra belfast palpation. Dr. S. J. Meltzer of viagra women shop New buy viagra belfast York asked about the re- flexes. The retardation might be caused in two ways. First, by inhibiting the movements of the stomach walls and, second, by increasing the contraction of the pylorus. In the first they would have an arrested prog- ress in the gastrointestinal canal. That it might in- crease the contraction of the pylorus would not be sur- prising because they knew that by obstruction in the gastrointestinal canal the peristalsis was increased as the action of the sphincter would also be increased. Dr. Franklin W. White of Boston said that it seemed to him that there was no doubt that the delay was due to viagra women shop spasm of the pylorus and not to any in- hibitive action of the stomach. The Importance of Duodenal Alimentation in Severe Dyspepsia Occurring after Gastroenterostomy. — Dr. Max Einhorn of New York reported ten cases of postoperative severe dyspepsia treated by duodenal ali- mentation. Two were described in detail and eight in tabulated form. Of these, viagra women shop eight made good recoveries, while two necessitated reviewed surgical intervention. These patients were thoroughly examined to ascertain if the pylorus and gastroenterostomy openings were patent. If such patients were placed on duodenal ali- mentation for two weeks one was apt to get good results. Dr. viagra women shop Julius Friedenwald of Baltimore believed this to be a life saving method of treatment and said he had used it buy viagra belfast in a great number of cases. After the operation of gastroenterostomy the patient was not cured, or cured only for a short time. In several in- stances duodenal feeding had helped him out and he recalled one case in particular. This was a man, 23 years old, with an ulcer of the stomach treated medi- cally and the condition was relieved for a short time only. Gastroenterostomy was then done and the pa- tient was relieved for about six months, when he had a return of his symptoms of ulcer of the stomach. Duo- dena! feeding- was then resorted to and he had now been well for nearly two years. He thought this method should be tried further before operations were under- taken. Dr. Charles G. Stockton of Buffalo said that his results corresponded very closely to those of Dr. Ein- horn's. Some patients suffered after operation with symptoms of what he described as a "vicious circle" and the patients after operation were sometimes worse than buy viagra belfast they were before; in these patients the food passed from one opening out and back to the stomach through the other. He was convinced that he had seen at least one case relieved of symptoms after the use of the duodenal tube. Dr. Franklin W. White of Boston said he had viagra women shop used the duodenal tube in two cases. There were some in- stances in which the tube did not work well. Observations buy viagra belfast on Intestinal Bacteria in Children. — Drs. William Webber Ford, K. D. Blackfan, and M. D. Batchelor of Baltimore presented this paper, which was read by Dr. Ford. He said that during the past 38