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mal purchase viagra plus functions have their nerve supply in the posterior portion of the brain. The brain must have room to grow-, and not be compressed by faulty position of the infant during its period of development. The posi- tion usually forced upon purchase viagra plus children is faulty. They should be encouraged to assume ever-changing atti- tudes and positions in lying, and should purchase viagra plus be allowed to creep and toss about to bring the muscles into play. Too much propping up with pillows and encouraging girl babies to sit up and to walk early are wrong. Later in life the bad effects of too much erect sitting in school, etc., should be counteracted by rest in the hori- zontal position with the hips raised. All forms of out-of-door exercise in which boys engage purchase viagra plus should be afforded to girls, including military tactics. Dr. Slagle purchase viagra plus deprecated the tendency to too great refinement in the girl's education and development at the expense of the nerves. He advocated the bicyt Le in moderation. Dr. Small, of Pittsburg, said that in bicycle-riding for girls the handle bar should be always two inches higher than the seat. This prevents stooping and helps expand the chest. Dr. Hiberger, of Washington, prescribed the wheel and found the menses less difficult in those who rode. overnight viagra canada Dr. Cotton was sceptical about the possibility of development of the anterior lobes of the brain by en- couraging creeping and the prone, position. May 30, 1896] MEDICAL RECORD. 781 Dr. Small, o? Pittsburg, read a paper upon Retention in the Newly Born, reporting the his- tories of three cases. The first case related to the plugging of the female urethra with inspissated mucus. During the first seventy-five hours of life there was no act of urination. The passage of a probe resulted in a gush of urine and no further treat- ment was required. A child's catheter corresponding to No. 9 purchase viagra plus of the French scale was shown. It was six and a quarter inches in length, with a slight curve near the beak. Instrument-makers' catalogues in this country make no mention of such a child's catheter. The literature of retention in infants is purchase viagra plus very scanty. It is said that retention from inspissated mucus is not very uncommon. How long we should wait before using a catheter in such cases, is the question which the writer wished discussed. Dr. Slagle said he never catheterized a female child and rarely a male. Unless there is obstruction purchase viagra plus it is usually unnecessary, as mild means will answer. Dr. Work has overnight viagra canada seen retention in only three instances, out of a large obstetric experience. If the bowels have moved, especially if several times, we may well wait till the next day. An occlusion by the secretions is usually the only thing to overcome and this can be done by a curved blunt probe. Dr. Byers thought the condition described must be very rare. It is usually relieved by itself. Dr. Graham said he had rarely seen retention. Prolonged labor may produce temporary paresis. He saw no necessity for the curve in the catheter pre- sented. It should not be an angle. A simple silver probe ought to be sufficient. Dr. Cunningham reported a case in which no urine had been passed. An imperforate meatus was found. The child was therefore circumcised. In the night there were convulsions. Hot poultices were used, as it was thought best not to pass a probe and there was no evidence of bladder distention. Convulsions occurred every half-hour. A catheter was now passed and the urine withdrawn, and no convulsive seizures followed. Dr. Allen, of New York, thought the mere contact of the metallic probe might, by reflex action, cause bladder contraction and produce the desired result without passing the instrument into the bladder. In this connection he related an instance of congenital occlusion of the greater portion purchase viagra plus of the penile urethra. purchase viagra plus The day after birth he had operated by perineal sec- tion, relieving the bladder of its accumulated urine, and had purchase viagra plus then bored through from this perineal wound and secured an opening to the meatus, which was kept open by overnight viagra canada means of a piece of overnight viagra canada soft catheter of small calibre till the wall was healed. The perineal wound healed promptly and well and urine was passed through the new urethra. About a month later alarm- ing symptoms set in, attended with pronounced jaun- dice, and the child died. On autopsy, bladder and kidney changes were found. The question was asked whether such a case had come within the experience of any one present. There was no response. Dr. Manlev, of New York, said that such instances as those in the paper would be found described by Boyer, and also in Monod and Terillon's work. The cuises of retention are usually stenosis of the meatus ot the prepuce and stenosis of the meatus urinarius proper. It occurs quite frequently, contrary to the gen- eral opinion as expressed by those who had spoken. The urethral tissue in infants is very delicate and contains no muscular fire, while the bladder contains three times as much as the adult bladder. Since in the infant there is no space of Retzius, aspiration through the abdominal wall is very dangerous for the peritoneum. The straining due to stenosis in boy in- fants accounts for the relatively great frequency of inguinal hernia in the male.