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for which he expressed preference. It had been done but a few times, once by himself. viagra generic nextag The discussion was by Dr. Bai hi EMMET, who Said he h.iil once performed uretero-uretero anastomosis, and by Dr. Byford. Resolution on Vivisection. viagra generic nextag On motion of Dr. Grandin a resolution was adopted opposing the pis- sage of the bill before Congress intended to restrict vivisection in the District of Columbia. Thanks to the Retiring Secretary. On motion of Dr. Grandin a vote of thanks was extended to Dr. Henry C. Coe for london viagra sale the efficient services which he has rendered the societv (luring the number of years he has acted as secretary. At an earlier hour a vote of thanks was tendered the president for the able manner in which london viagra sale he has pre- sided over this very successful meeting of the society. Officers. The following officers were elected: President, Dr. Chadwick, of Boston: london viagra sale First Vice-Jres- ident, Dr. Sutton, of Pittsburg: Second Vice- President, Dr. Garrigues, of New York; Secretary, Dr. Goffe, of New York: Treasurer, Dr. Baldy, of Philadelphia. NEW YORK ACADEMY OF MEDICINE. SECTION ON GENERAL MEDICINE. Stated Meeting, May 19, 1896, Reynold W. Wilcox, M.D., Chairman. Intestinal Fermentation. london viagra sale The discussion on this subject was opened with a paper by Prof. R. H. Chit- tenden, of Yale College. Professor Chittenden .-aid his paper would necessarily have to deal with the sub- ject in a general way. In it he referred to the micro- organisms, principally bacteria, present in the intes- tine, which brought about fermentation of foods: to proteids, as most liable to fermentation: to the retard- ing effect of sugar and of acid conditions; to the fa- vorable influence of alkaline or neutral fluids; to the practical freedom of the secretions themselves from germs; to the evidence that bacteria themselves viagra generic nextag are not necessarv to digestion and health; to the products formed by fermentation; to the measuring of intestinal fermentation by examination of the urine: to the power of bacteria to break down proteid matter with the foinia- tion of simple compounds ; to the fact that the products formed by bacteria might at times_ combine with others under the influence of oxygen or other means to foim more complex bodies of greater toxicity viagra generic nextag : to the fact that the absorption of the products cf excessive intestinal fermentation might not only do harm by their direct toxic action, but also indirectly by increasing the susceptibility of the body to infection frcm other sources: and to the ailments connected with intestinal fermentation diarrhoea, abdominal distention, ana- mia, so-called biliousness, many nervous manifesta- tions. The question of how to prevent intestinal fer- mentation is one for consideration by clinicians. There are many drugs which unquestionably exert an inhibitory influence upon fermentation and putre- faction, but there is much diversity of opinion as to their efficacy when administered in such diseases as cholera, typhoid fever, etc. Professor Chittenden did not wish london viagra sale to question the possibility of applying anti- septic treatment efficiently, but he was inclined to lay special stress london viagra sale on the influence of diet. Other things being equal, it is obvious that the more digestible is the food, the less tendency will there be to in- testinal fermentation. On the other hand, the accu- mulation of undigested food in the intestinal tract affords one of the best possible conditions for putre- faction. This explains the favorable action oi milk diet. Moreover, nowithstanding the ease will: which milk is fermented, it is viagra generic nextag possible it has the power to retasd somewhat putrefaction in other forn : of proteid matter. The Bacteriology of the Stomach in Relation to June 6, 1896] MEDICAL RECORD. 815 Practical Therapeutics. Dr. J. H. Kellogg, of Bat- tle Creek, Mich., in a paper with this title, said that while much attention has been given during the last twelve years to the chemistry of digestion, compara- tively little has been done in the study of the bacteria of the stomach in relation to practical therapeutics. In this paper he presented some conclusions which he has drawn from a careful comparative bacteriological and chemical study of the stomach fluid in three hun- dred and seventy-seven cases. The information sought by the mode of examination adopted was: 1, the num- ber of microbes per cubic centimetre of stomach fluid; 2, the presence or absence of gelatin-liquefying bac- london viagra sale teria ; 3, the presence or absence of gas-producing bac- teria; 4, the presence or absence of acid-forming bac- teria; 5, the toxicity of the products of bacterial activity in the stomach fluid. Within the past year three hundred and seventy- seven stomach fluids had been examined from more than three hundred and fifty persons. Of the fluids examined, one hundred and ninety-one were found to be absolutely sterile, while sixty-seven contained less than fifty bacteria per cubic centimetre, a number so small as to be considered accidental, so viagra generic nextag that these also could be regarded as sterile; while one hundred and two contained bacteria from a few hundred to more than viagra generic nextag two million per cubic centimetre. Dr. Kellogg