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face, and cyanosis of the extremities anil of the lips. In ordinary cases only one series of inhalations was given daily, while two (morning and evening) were or- dered where the symptoms were grave. It did not ap- pear to M. Hayem that the treatment had any viagra online distributors marked effect on the duration of the malady, or on the thermic- cycle; the effects viagra best generic seemed to have been entirely local, consisting in a decrease of the dyspnoea, a modifica- tion of the expectoration, and in an attenuation of the stethoscopic viagra best generic signs. The nitrite of amyl did not de- stroy the virulence of the pneumococci ; its chief in- fluence was on the pulmonary circulation, producing a strong flux which facilitated the return of the blood into the alveolus and hastening the absorption of the exudation. During the last two years the speaker treated seventy-seven cases of pneumonia, with sixteen deaths, by inhalations of the nitrite. Several of the fatal cases occurred in hard drinkers. /our. des Prac- ticiens, 1895, p. 254. Living Tissues Cannot be Disinfected. Dr. Haenel asserts as viagra best generic the result of experimental researches that it is not possible to disinfect living tissues by chemicals. He thinks the best way to treat infected wounds is by free drainage and open dressings. His experiments were conducted on forty-four guinea-pigs. The wounds entered the muscular tissues and were infected by tam- pons containing a virulent viagra best generic fluid, having in it both streptococci and staphylococci. The tampons re- mained in for times varying from four to eighteen hours. The wounds were then washed out and dressed with solutions of either three-per-cent. carbolic acid or six-per-cent. of sodium chloride, and were then dressed with tampons and moist gauze dressings soaked in the respective solutions. Six cases were dressed with aseptic dressings without tampons. Under con- ditions as similar as possible no distinction was found between the course of healing, whether carbolic acid of sodium chloride had been employed in the solutions. If the virulence was 1. irked, the animals died of acute infection. Deutsche ^ dicinische Wochenschrift. The Radical Cure Hernia in Children. Dr. Broca, of Paris, has performed the radical operation for the relief of hernia in children under fifteen years of age in 450 cases. Only one death occurred in this series of operations, and this was due to septic perito- nitis. Of the total number of cases reported, 14 were umbilical hernias. The others were inguinal hernias. 41 in girls and 395 in boys. Dr. Broca urges that, whenever possible, the operation should not be per- formed until the infant has been weaned. But oper- ations for strangulated hernia have been successfully done on infants a lew clays to several weeks old. The technique of the operation is the same as in adults. The time viagra best generic needed for its performance is generally only about ten minutes. Lyons Midical. Stone in the Bladder and Pregnancy. viagra online distributors viagra best generic A case ol large vesical calculus complicating pregnancy has bi 1 observed by Dr. Rosenfeld. The woman, aged twenty- seven, was four months pregnant. She had retention of urine and was complaining of severe pain in the 1 dadder. A large stone was found obstructing the urethra. Trendelenburg's operation was promptly per- formed. It was found that the stone was so bulky that the incision had to be prolonged down to the neck of the bladder. There was free hemorrhage. Abortion took place two days after the operation, and the patient died of complicating pneumonia. At the autopsy peri- tonitis was not found, but the woman had pyohydrone- phrosis. Miinehener Medicinische Wochenschrift. False Lupus in the Nasal Cavity. Dr. Simonin has recently made an elaborate study of so-called lupus pseudopolyposus. viagra best generic His conclusions may be briefly summarized as follows: The pathological condition viagra best generic generally described as lupus pseudopolyposus is not a true variety of viagra online distributors lupus, but a rare form of tuberculosis. The virulence of viagra best generic this form of tuberculosis is, however, less pronounced than that of any other variety. The proper treatment for this affection is purely surgical. viagra best generic The growths are to be removed by the wire snare or curette, followed by cauterization. Deutsche Medizinal Zeitung, December 23, 1895. Melancholia Following an Attack of Cholera. That cholera may result in various psychoses is a well- viagra online distributors established fact. A Russian physician has recently observed a case of pronounced melancholia in a young man, aged nineteen, who had just recovered from a moderately severe attack of cholera. The patient had to be sent to an insane asylum, where appropriate treat- ment resulted in complete recovery in less than five months. Deutsche Medizinal Zeitung, December 23, 1895. Unilateral Weeping in Facial Paralysis. A viagra online distributors case of this kind has been recently observed by Dr. Francke. of Greifswakl. It proved conclusively that the facial nerve is the secretory nerve of the lacrymal gland. If, as in the case recorded, the secretion of tears is en- tirely suppressed, the seat of the lesion must be central and near the ganglion geniculi. On the other hand, if lacrymation is not interfered with, the lesion is sure to be peripheral. Schmidt's Jahrbiicher, December iq, 1895. io4 MEDICAL RECORD. [January 18, 1896 Pyogenic Action of the Gonococcus. After a cathe- terization in a man with gonorrhoea a chill was fol- lowed by four intramuscular abscesses situated near the shoulder-joint, popliteal space, inner aspect of leg, and above the malleolus. Culture of the evacuated pus upon serum-agar showed a pure growth of gono-