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ciple. It is easily dried, and can be grown in large quantities during the coming fall, and as an un- dried product, throughout the winter in our South- ern states. A very important matter in the immediate future is the appointment of official experts in every coun- ty and town, whose function will be to diffuse in- formation among the people as to what foods they patent viagra generic should eat, and how to prepare them. 94 Prospect Street. Uremia and Internal Secretions. — Remond and Min- viele concluded as a result of special research that stimulation of the organs of internal secretion in- creases the normal resistance of the organism to uremic intoxication. — La Presse Medicate. Syndrome patent viagra generic of Avellis. — Laurens describes the results of a traumatism of the vagospinal nerve by shell ex- plosion. This nerve is regarded by some anatomists as presiding over the movements of the soft palate. The result of the trauma was recurrent homonymous paral- ysis of the velum. — Le Progres Medical. Paroxysmal Vagotonia. — Danielopulo studied a group of young subjects who presented paroxysms of severe vertigo (occasionally with syncope), cerebral vomiting, and bradycardia. Uremia and meningitis could be ex- cluded. The genuineness of the conception of vagotonia is shown by the fact that buy viagra boston atropine acts favorably on the symptoms. — La Riforma Medina. False Accusation of Rape and Spurious Pregnancy. — Tissier reports the case of a girl of seventeen who claimed to have been violated and impregnated. Her hymen was not only intact but formed a complete dia- phragm in the vagina. A greatly enlarged uterus proved to be a hematometra with hematocolpos, the girl never having menstruated. The alleged rape consisted only of a superficial contact, buy viagra boston evidently with the co- operation of the girl. — La Presse Medicate. July 7, 1917] MEDICAL RECORD. 21 iKUtiarg Mtbuine. WAR FATIGUE. (From Our Regular Correspondent.) Pahis, June 11, 1917. In this communication I want to call to the at- tention of the civil practitioner certain conditions of mental and physical derangement rarely if ever met in civil practice and which will be among the earliest of his experiences if he is called to buy viagra boston serv- ice in one of the front line hospitals. In the first place one does not have to be told that many a man carrying a gun, doing his assigned duty in the trenches and "going over the top" with a fixed bayonet at the sound of the whistle, in a charge upon the lines of the enemy, is wholly un- fitted both mentally and physically to be a soldier. Mentally he is patent viagra generic modest, shrinking, quiet, soft spoken; he may be an buy viagra boston artist, a musician, some man's or woman's secretary. Physically he has never done any hard work in his life; he has lived in some quiet, sheltered place, from which he is suddenly called to the roughest sort of a life, often to sleep on the ground; good food but often indif- ferently prepared and not infrequently eaten at irregular intervals and sometimes after a long day of fatigue and waiting. One can readily under- stand that this man will soon break under the strain and be in the hospital ; but a worse case than his is the strong man, mentally and physical- ly, who disdains fatigue, danger, meals, and sleep; he often presents a condition of which I shall speak and which it is important that the newly arrived surgeon at the front line hospital should be prepared to patent viagra generic meet. The manifestations pre- sented in such a subject are all the more dis- quieting and pronounced for the reason that be- ing a strong man he calls upon the last reserve of his will power to support the strain, unwilling to concede that he has arrived at, even surpassed, the limits of his strength. Take a man (and only the best are sent there) who occupies the observation post ordinarily be- yond the first line. During the twelve hours of his watch the post is under constant bombard- ment, and besides the unceasing alertness of his attention to his duty buy viagra boston of watching every point where any movement of the enemy must be imme- diately reported patent viagra generic by telephone, he is answering calls of the phone, noting the movement of avia- tors, the changing intensity of a cannonade; his nerves are at a constant tension not to be diverted from the attention to his duties by the roar of the cannon and the shells buy viagra boston bursting patent viagra generic around him. Or consider a man in the advance salient of the trench watching for the expected onset of the enemy's charge, which is attempted and repulsed two or three times in succession during a few hours and he in the thick buy viagra boston of it but unhurt. There are countless and patent viagra generic one duties, conditions, and sit- uations which put a man upon his mettle and call into play his every faculty, not for a moment, but for hours upon a stretch, which subject him to un- usual and extraordinary mental strain which greatly accentuates his bodily fatigue. When this man reaches and surpasses the limits of his strength he often presents a condition and chain of symptoms calculated to mislead or puzzle the