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tion cases. In the non-serum treated series, 17.57 per more frequent and more pronounced paralysis in those cent, were intubation cases. The patients in whom treated viagra prescription write with serum. antitoxin was used were injected at an early stage of the - The serum was also used in croup cases compli- disease, from the first to the fourth day. No patient cated by severe diphtheria, and in mild cases of croup was viagra prescription write injected who had been ill more viagra prescription write than four days at for the purpose of preventing stenosis. The mortality the time of admission to the hospital. Cases that were in all cases (operated and not operated) was 28 per considered hopeless on admission did not receive serum cent, and for operated cases 40 per cent. ; but during viagra prescription write treatment. All patients that were considered hopeless this same period there were 87 cases of croup that when brought to the hospital were placed with the were not injected; the mortality in these, for generic viagra ajanta all cases non-serum-treated cases, and some of these died within (operated and not operated) was 25 per cent, and for an hour of their admission. This makes the serum- operated cases 38 per cent. therefore lower than in treated cases a far more favorable series than those those treated with serum. The serum was generally that did not receive serum. There were more children used in mild cases to prevent possible operative in- under i\ve years of age in the non-serum-treated cases, terference. The serum could generic viagra ajanta not prevent laryngeal more intubation cases; all cases considered hopeless stenosis. Severe diphtheria complicated with' croup and late and neglected cases were in the non-serum- did very badly with this treatment. All such patients treated series. The mortality in the 302 cases treated died, and the good result in milder cases is explained with serum was 28.1 per cent.; in the 404 cases by the good type of the present epidemic. The mild- not treated with serum, 25.9 per cent. Had these ness of the epidemic reached a height formerly un- 302 serum-treated cases of diphtheria received the known." same treatment that was given to the 404 cases Report of the Medical Superintendents of the that did not receive serum, they certainly should have Metropolitan Asylums Board (London), 1895 shown a lower death-rate than the 404 cases treated This report embraces 2,182 cases of diphtheria treated without serum. They were by far a more favorable with antitoxin; 615 deaths; mortality, 28.1 per cent, series, and should have shown under the same treat- The medical superintendents compare this result with ment better results. It should be stated that the viagra prescription write cases that of 1894, when 3,042 cases of diphtheria were treated with serum had the same local antiseptic treat- treated in all the hospitals of the board (without anti- ment and the same internal medication and stimula- toxin), 902 deaths; mortality, 29.6 per cent.* tion that were given to the series of non-serum-treated There are divergencies in the mortality in the indi- cases; and yet with a so-called specific added to the vidual hospitals during the antitoxin and non-anti- treatment there is a higher death rate, toxin years which show that the 1.5 per cent, reduc- Results in Blegdam generic viagra ajanta Hospital (Copenhagen). tion in mortality in 1895 over 1894 is not due to generic viagra ajanta a Professor Soerensen 40 reports 51 cases of severe diph- single or specific factor. theria treated with serum, and 46 cases of generic viagra ajanta severe diph- In the Southwestern Hospital in 1892 there were theria treated without serum, during the same period; 463 cases of diphtheria; 93 deaths; mortality, 22.5 mortality, 33 per cent, in both series. During this percent. In 1895, 316 cases treated with antitoxin ; period the total number of cases treated in the hos- 94 deaths; mortality, 29.2 percent, pital was 385, with mortality of 16 per cent., showing In the Southwestern Hospital generic viagra ajanta in 1893, 583 cases; that the epidemic was a mild one; but for comparison 159 deaths; mortality, 27.1 per cent. In 1895, mor- these severe cases were selected for treatment with tality in antitoxin-treated cases, 29.7 per cent, and without serum. There was no choice of cases un- In the Southwestern Hospital generic viagra ajanta in 1894, 546 cases; favorable to the serum, but it depended upon generic viagra ajanta the supply 156 deaths; mortality, 28.5 per cent, whether it was used or not. The average age of those g w HosMTAL . N - w . hosp.tal. treated without Serum was lower than those treated Cases. Deaths. Percent. Cases. Deaths. Percent. with serum, four to five years against five to six years. 1892 463 93 22.5 6S2 138 21.8 The youngest (six months old) was in the group of 1S93 585 159 27.1 1,249 332 26.5 those not treated with serum. Among those who died l8 94 _54& J56 ^5 ^147 J09 generic viagra ajanta ^9 who were treated with serum two were admitted on the Total. 1,594 408 25.5 3,078 779 25.3 first day of the disease, two on the second, and five on , , . v , , r , ,. / -, r ,. .1 -.1 ,. Cases. Deaths. Percent. Cases. Deaths. Percent. the third day of viagra prescription write the disease. Of those treated without lS ltoxi 6 6 serum none were admitted on the first day of disease, four on the second, and one on the third day. There- * l n this antitoxin report it is stated: "Inacertain number of fore those who received serum were admitted earlier patients, being moribund at the time of their arrival and beyond generic viagra ajanta the reach of any treatment, no antitoxin was given." viagra prescription write These * Mortality in N. V. Foundling Asylum, 1894 (non-antitoxin cases are therefore all eliminated from the report. There were year), 24 per cent. ; mortality in 1^95 '(antitoxin year), 45-7 per 1,347 patients in the hospitals during the year who did not receive cent antitoxin treatment ; of these 181 died ; mortality, 13.4 per cent. 888 MEDICAL RECORD. [June 20, 1S96 1S92, . Is S. W. and X. W. Hospital. Cases. Deaths. Percent. 4.&72 I.187 25.4 1 1