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dressings, from the outside surface of the lids, from the eyelashes and eyebrows, and from the conjunctival sac. Place these tubes in an incubator at the viagra offshore pharmacy temper- ature of the body. The staphylococcus epidermidis albus will grow so often as to make it the rule. The citreus and aureus will grow in a considerable number of cases, and occasionally bacilli will be found. In this connection it may also be stated that in general surgery so many bacteria have been found in wounds that heal kindly, that the word " aseptic" has lost its original exact meaning of entire absence of bacteria and has come to mean only that enough of them have been ex- cluded so that the remainder do not interfere with the healing. In conclusion, thanks to the laboratory, we are in a much more intelligent position in regard to what used to be called dirt. We have become partially ac- quainted with bacteria and their power to interfere with the healing of wounds. We know that accidental inoculation from the hands or viagra offshore pharmacy instruments is very likely to produce the same results as intentional inoc- ulation. From the laboratory standpoint it seems impossible to sterilize the field of operation. From the purely clinical standpoint of cataract surgery it seems impossible as yet to demonstrate any great change in operative results due to the introduction of viagra offshore pharmacy antibacterial measures. The Bubonic Plague is reported to have broken out afresh in Hong-Kong. 768 MEDICAL RECORD. [May 30, 1896 Medical Record: A Weekly Journal of Medicine and Surgery. GEORGE F. SHRADY, A.M., M.D., Editor. Publishers WM. WOOD & CO., 43, 45, & 47 East Tenth Street. New York, May 30, 1896. ANTI-CIGARETTE LEAGUES. Much has been written for and against the cigarette, but it is really in itself an innocuous little cylinder, admitting that any form of smoking tobacco is harm- less. It has often been asserted that the tobacco used in cigarettes is adulterated with opium and other nox- ious drugs, but this is very improbable as regards the cheaper sorts, for viagra offshore pharmacy obvious reasons. It has been said that the smoke of the burning paper is injurious to the mucous membrane of the air passages, but many professional singers and not a few laryngologists smoke cigarettes habitually without experiencing any deleterious effects. The truth of the matter is that a given amount of tobacco cialis viagra 10mg smoked in a cigarette prob- ably works no more harm than does the same amount in a pipe or cigar. The evil of the cigarette is that it affords a short smoke, and it is often lighted and wholly or partly consumed at odd and frequent mo- ments when there would not be time to smoke cialis viagra 10mg a cigar. In this way it offers viagra offshore pharmacy a temptation and the opportunity for immoderate indulgence in tobacco. If its use were confined to adults, there would be no necessity for any crusade against it, cialis viagra 10mg and our duty as physicians would be fulfilled in warning against overindulgence in tobacco as well as in alcohol or ice cream or any other substance which may be injurious to the mass when taken in excess or to certain individuals when taken at all, and in emphasizing the fact that cigar- ette smoking often leads to such cialis viagra 10mg overindulgence. The evil lies, however, in the abuse (for here all use is abuse) of the cigarette by boys. In the ante- cigarette days it was rare to see a juvenile smoker under sixteen or eighteen years, but now the veriest mites learn to smoke as cialis viagra 10mg soon as they do to swear, and are equally proud of and equally addicted to both vices. There is no dispute concerning the injurious effects of tobacco upon viagra offshore pharmacy the growing child, and the only difference of opinion is as to the best means of repressing the cigarette evil. In various States legis- lative enactments have been tried, some of the laws cialis viagra 10mg merely forbidding the sale of tobacco or cigarettes to minors, others prohibiting entirely the manufacture and sale of cigarettes. We question, however, the practi- cal working of laws of this kind, and believe that much viagra offshore pharmacy surer results can be obtained by working through persuasion and example upon the boys themselves. In a number of cities " Anticigarette Leagues" have been organized among the boys in the public and cialis viagra 10mg parish schools, and, according to the testimony of both parents and teachers, they have al- ready been the means of accomplishing an incalculable amount of good. A well-informed writer in one of the daily papers some time ago stated that the spread of the cigarette habit among boys had been so dis- tinctly arrested by means of these leagues that there was every reason to hope continued effort would even- tually succeed in stamping out the vice altogether. " In many of the schools," he said, "the entire atmos- phere has definitely improved. Boys are more atten- tive to work, are in better health, and are fighting for a better and more rugged young manhood. Organiza- tion among themselves with a definite purpose in view has developed an educational value. Within the